Maren Ruth L Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Offutt Afb, Nebraska. Her current practice location is
2501 Capehart Rd, Offutt Afb, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 294-7790.
Maren Ruth L Jackson is licensed to practice in Iowa (license number 112729) 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 1730673914.
Healthcare Provider's Profile
Full Name | Maren Ruth L Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
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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: 1730673914
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062813249
- Enrollment ID: I20220322001169
Medical Identifiers
Medical identifiers for Maren Ruth L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730673914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 09927421 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 112729 (Iowa) | Primary |
1041C0700X | Social Worker - Clinical | 09927421 (Colorado) | Secondary |
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. Maren Ruth L Jackson allows following entities to bill medicare on her behalf.
Entity Name | Alegent Creighton Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770922437 PECOS PAC ID: 1850285255 Enrollment ID: O20131023000316 |
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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. Maren Ruth L 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 |
Maren Ruth L Jackson, LCSW 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-7790 | Maren Ruth L Jackson, LCSW 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-7790 |
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