Angela Jackson, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Irmo, South Carolina. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1180 Columbia Ave Ste 101, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 575-0579.
Angela Jackson is licensed to practice in South Carolina (license number 13959) 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 1922511419.
Healthcare Provider's Profile
| Full Name | Angela Jackson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 1180 Columbia Ave Ste 101, Irmo, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela Jackson graduated from medical school in 2017
NPI Data:
- NPI Number: 1922511419
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840603346
- Enrollment ID: I20201230000290
Medical Identifiers
Medical identifiers for Angela Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922511419 | NPI | - | NPPES |
| SW1739 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 13959 (South Carolina) | 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. Angela Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Inspired Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528644713
PECOS PAC ID: 7810305208
Enrollment ID: O20210423002030 |
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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. Angela 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 |
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Angela Jackson, LISW-CP
1180 Columbia Ave Ste 101,
Irmo, SC 29063-2890
Ph: (803) 575-0579 | Angela Jackson, LISW-CP
1180 Columbia Ave Ste 101,
Irmo, SC 29063-2890
Ph: (803) 575-0579 |
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