Marcella Jackson, LMSW in Baltimore, MD - Medicare Counselor Provider

Marcella Jackson, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Baltimore, Maryland. Her current practice location is 8831 Satyr Hill Rd Ste 107, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 838-1700.

Marcella Jackson is licensed to practice in Maryland (license number 18439) 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 1922716711.

Contact Information

	Marcella Jackson, LMSW
	8831 Satyr Hill Rd Ste 107, Baltimore, MD 21234-2437
	(443) 838-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marcella Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	8831 Satyr Hill Rd Ste 107, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922716711
Provider Enumeration Date: 11/09/2022
Last Update Date: 01/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9830567700
Enrollment ID: I20221128000006

Medical Identifiers

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

Identifier	Type	State	Issuer
1922716711	NPI	-	NPPES
18439	Other	MD	LICENSE ID
1922716711	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	18439 (Maryland)	Secondary
104100000X	Social Worker	18439 (Maryland)	Secondary
251B00000X	Case Management	18439 (Maryland)	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	18439 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	18439 (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. Marcella Jackson allows following entities to bill medicare on her behalf.

Entity Name	Victory Behavioral Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336859784 PECOS PAC ID: 4880064625 Enrollment ID: O20230112000417

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. Marcella 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
Marcella Jackson, LMSW 8831 Satyr Hill Rd Ste 107, Baltimore, MD 21234-2437 Ph: (443) 838-1700	Marcella Jackson, LMSW 8831 Satyr Hill Rd Ste 107, Baltimore, MD 21234-2437 Ph: (443) 838-1700

Reviews and Comments

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Marcella Jackson, LMSW - Medicare Counselor in Baltimore, MD