Dr Iris Jackson, LCSW-C is a medicare enrolled "Social Worker" provider in Baltimore, Maryland. Her current practice location is
6610b Tributary St Ste 310a, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 438-9532.
Dr Iris Jackson is licensed to practice in Maryland (license number 15995) 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 1225324189.
Healthcare Provider's Profile
Full Name | Dr Iris Jackson |
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Gender | Female |
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Speciality | Social Worker |
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Location | 6610b Tributary St Ste 310a, Baltimore, Maryland |
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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: 1225324189
- Provider Enumeration Date: 06/20/2011
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012257058
- Enrollment ID: I20190329001097
Medical Identifiers
Medical identifiers for Dr Iris Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225324189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 15995 (Maryland) | 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. Dr Iris Jackson allows following entities to bill medicare on her behalf.
Entity Name | Pathways Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437697323 PECOS PAC ID: 6204176241 Enrollment ID: O20190328002824 |
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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. Dr Iris 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 |
Dr Iris Jackson, LCSW-C 6610 Tributary St, Suite 310, Baltimore, MD 21224-6514 Ph: (443) 438-9532 | Dr Iris Jackson, LCSW-C 6610b Tributary St Ste 310a, Baltimore, MD 21224-6503 Ph: (443) 438-9532 |
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