Stephanie Jackman, LMSW in Rochester, NY - Medicare Counselor Provider

Stephanie Jackman, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Rochester, New York. Her current practice location is 360 Wellington Ave, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 802-7004.

Stephanie Jackman is licensed to practice in New York (license number 078781) 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 1679721468.

Contact Information

	Stephanie Jackman, LMSW
	360 Wellington Ave, Rochester, NY 14619-1210
	(585) 802-7004
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Jackman
Gender	Female
Speciality	Counselor - Mental Health
Location	360 Wellington Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679721468
Provider Enumeration Date: 09/04/2008
Last Update Date: 10/28/2011

Medicare PECOS Information:

PECOS PAC ID: 4082968276
Enrollment ID: I20181106001461

Medical Identifiers

Medical identifiers for Stephanie Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679721468	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	078781 (New York)	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. Stephanie Jackman allows following entities to bill medicare on her behalf.

Entity Name	Senior Living Behavioral Health Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083150056 PECOS PAC ID: 9931482247 Enrollment ID: O20170213000455

Entity Name	Stephanie Jackman Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427663269 PECOS PAC ID: 6608287453 Enrollment ID: O20201130001026

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. Stephanie Jackman 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
Stephanie Jackman, LMSW 18 Debbie Ln, Brockport, NY 14420-9400 Ph: (585) 802-7004	Stephanie Jackman, LMSW 360 Wellington Ave, Rochester, NY 14619-1210 Ph: (585) 802-7004

Reviews and Comments

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Stephanie Jackman, LMSW - Medicare Counselor in Rochester, NY