Sally Ann Davis-jackson, MSW, PLMHP, CSW is a medicare enrolled "Social Worker - Clinical" provider in Bassett, Nebraska. Her current practice location is
202 E Highway 20, Bassett, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 684-2908.
Sally Ann Davis-jackson is licensed to practice in Nebraska (license number 12003) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225672371.
Healthcare Provider's Profile
Full Name | Sally Ann Davis-jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 202 E Highway 20, Bassett, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225672371
- Provider Enumeration Date: 11/01/2019
- Last Update Date: 11/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799128849
- Enrollment ID: I20240206002985
Medical Identifiers
Medical identifiers for Sally Ann Davis-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225672371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 12003 (Nebraska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sally Ann Davis-jackson allows following entities to bill medicare on her behalf.
Entity Name | Midwest Country Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417155433 PECOS PAC ID: 2466768809 Enrollment ID: O20150901000445 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally Ann Davis-jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sally Ann Davis-jackson, MSW, PLMHP, CSW Po Box 26, Bassett, NE 68714-0026 Ph: (402) 684-2908 | Sally Ann Davis-jackson, MSW, PLMHP, CSW 202 E Highway 20, Bassett, NE 68714-6052 Ph: (402) 684-2908 |
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