Mrs Roberta Marie Jackson, LCSW CASAC-II - Medicare Counselor in New York, NY

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Mrs Roberta Marie Jackson, LCSW CASAC-II is a medicare enrolled "Social Worker - Clinical" provider in New York, New York. Her current practice location is 105 W 125th St, Front 1 #1042, New York, New York. You can reach out to her office (for appointments etc.) via phone at (347) 654-4405.

Mrs Roberta Marie Jackson is licensed to practice in New York (license number 088300-01) 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 1760013353.

Contact Information

Mrs Roberta Marie Jackson, LCSW CASAC-II
105 W 125th St, Front 1 #1042,
New York, NY 10027-4444
(347) 654-4405
(646) 759-4019

Map and Direction


Healthcare Provider's Profile

Full NameMrs Roberta Marie Jackson
GenderFemale
SpecialitySocial Worker - Clinical
Location105 W 125th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760013353
  • Provider Enumeration Date: 01/31/2020
  • Last Update Date: 08/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719335462
  • Enrollment ID: I20231120000558

Medical Identifiers

Medical identifiers for Mrs Roberta Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760013353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 35723 (New York)Secondary
1041C0700XSocial Worker - Clinical 088300-01 (New York)Primary

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. Mrs Roberta Marie 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 AddressPractice Location Address
Mrs Roberta Marie Jackson, LCSW CASAC-II
105 West 125th St, Front 1 #1042,
New York, NY 10027-4444

Ph: (475) 900-6271		Mrs Roberta Marie Jackson, LCSW CASAC-II
105 W 125th St, Front 1 #1042,
New York, NY 10027-4444

Ph: (347) 654-4405

Reviews and Comments


Social Worker in New York, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.