Stephanie Sherelle Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Selma, Texas. Her current practice location is
7538 Derby Vis, Selma, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 362-2591.
Stephanie Sherelle Jackson is licensed to practice in Texas (license number 58542) 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 1003521139.
Healthcare Provider's Profile
Full Name | Stephanie Sherelle Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7538 Derby Vis, Selma, Texas |
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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: 1003521139
- Provider Enumeration Date: 01/23/2023
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123483633
- Enrollment ID: I20230504002017
Medical Identifiers
Medical identifiers for Stephanie Sherelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003521139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 58542 (Texas) | 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. Stephanie Sherelle Jackson allows following entities to bill medicare on her behalf.
Entity Name | Senior Psychological Care Sa I Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205122355 PECOS PAC ID: 5193999860 Enrollment ID: O20111114000886 |
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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. Stephanie Sherelle 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 |
Stephanie Sherelle Jackson, LCSW 7538 Derby Vis, Selma, TX 78154-3943 Ph: (832) 362-2591 | Stephanie Sherelle Jackson, LCSW 7538 Derby Vis, Selma, TX 78154-3943 Ph: (832) 362-2591 |
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