Ms Elizabeth A Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. Her current practice location is
1111 S Orchard St Ste 100, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 794-9588.
Ms Elizabeth A Jackson is licensed to practice in Idaho (license number LCSW-33837) 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 1649694233.
Healthcare Provider's Profile
| Full Name | Ms Elizabeth A Jackson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1111 S Orchard St Ste 100, Boise, Idaho |
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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: 1649694233
- Provider Enumeration Date: 02/18/2014
- Last Update Date: 03/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416258587
- Enrollment ID: I20151214002209
Medical Identifiers
Medical identifiers for Ms Elizabeth A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649694233 | NPI | - | NPPES |
| 1649694233 | Medicaid | ID | |
| 3387 | Other | ID | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PCSW-535 (Wyoming) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMSW-31478 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-33837 (Idaho) | 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. Ms Elizabeth A Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Deer Oaks Mental Health Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134175763
PECOS PAC ID: 2264337013
Enrollment ID: O20130108000237 |
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| Entity Name | Utopia Counselling And Adoption Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578076865
PECOS PAC ID: 8628337128
Enrollment ID: O20180108002545 |
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| Entity Name | Brc Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982126264
PECOS PAC ID: 6305106824
Enrollment ID: O20180403001809 |
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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. Ms Elizabeth A 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 |
|---|
Ms Elizabeth A Jackson, LCSW
1111 S Orchard St Ste 100,
Boise, ID 83705-1961
Ph: (208) 794-9588 | Ms Elizabeth A Jackson, LCSW
1111 S Orchard St Ste 100,
Boise, ID 83705-1961
Ph: (208) 794-9588 |
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