Tiffany Jackson, LCSW in Princeton, IN - Medicare Clinical Social Worker Provider

Tiffany Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Princeton, Indiana. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southwestern Behavioral Healthcare, Inc. and her current practice location is 320 S 5th Ave, Princeton, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 385-5275.

Tiffany Jackson is licensed to practice in Indiana (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720578768.

Contact Information

	Tiffany Jackson, LCSW
	320 S 5th Ave, Princeton, IN 47670-3519
	(812) 385-5275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Jackson
Gender	Female
Speciality	Clinical Social Worker
Experience	6 Years
Location	320 S 5th Ave, Princeton, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany Jackson graduated from medical school in 2018

NPI Data:

NPI Number: 1720578768
Provider Enumeration Date: 05/15/2018
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5799192829
Enrollment ID: I20210407001944

Medical Identifiers

Medical identifiers for Tiffany Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720578768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwestern Behavioral Healthcare, Inc.	7315842309	31

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. Tiffany Jackson allows following entities to bill medicare on her behalf.

Entity Name	Southwestern Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451

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. Tiffany 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
Tiffany Jackson, LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 423-7791	Tiffany Jackson, LCSW 320 S 5th Ave, Princeton, IN 47670-3519 Ph: (812) 385-5275

Reviews and Comments

Social Worker in Princeton, IN

Ben A Thomas, MSSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 S 5th Ave, Princeton, IN 47670 Phone: 812-385-5275 Fax: 812-422-7558
Mr. Kendall R. Nelson, M.A.,LMFT, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Broadway St, Princeton, IN 47670 Phone: 812-386-7966
Ralph H Nichols, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 S 5th Ave, Princeton, IN 47670 Phone: 812-385-5275 Fax: 812-422-7558
Betty Dillingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1808 Sherman Dr, Princeton, IN 47670 Phone: 812-385-9287 Fax: 812-385-9307
Sarah Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Main St, Princeton, IN 47670 Phone: 812-635-0138 Fax: 812-635-0355
Jillian Carlson Moon, LSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Main St, Princeton, IN 47670 Phone: 812-306-5757

Tiffany Jackson, LCSW - Medicare Clinical Social Worker in Princeton, IN