Cheryl Ann Jackson, LMSW, CAADC, CCS is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is
2901 S Ethel St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 775-6335.
Cheryl Ann Jackson is licensed to practice in Michigan (license number 6801092435) 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 1265741789.
Healthcare Provider's Profile
| Full Name | Cheryl Ann Jackson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2901 S Ethel St, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265741789
- Provider Enumeration Date: 10/01/2010
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436407491
- Enrollment ID: I20180807003527
Medical Identifiers
Medical identifiers for Cheryl Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265741789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801092435 (Michigan) | 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. Cheryl Ann Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20190930001163 |
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| Entity Name | Elmhurst Home, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366659906
PECOS PAC ID: 5395115489
Enrollment ID: O20230106000299 |
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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. Cheryl Ann 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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Cheryl Ann Jackson, LMSW, CAADC, CCS
2901 S Ethel St,
Detroit, MI 48217-1531
Ph: (313) 775-6335 | Cheryl Ann Jackson, LMSW, CAADC, CCS
2901 S Ethel St,
Detroit, MI 48217-1531
Ph: (313) 775-6335 |
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