Tracey Ann Jackson, LBSW in Greenwood, SC - Medicare Counselor Provider

Tracey Ann Jackson, LBSW is a medicare enrolled "Counselor - Mental Health" provider in Greenwood, South Carolina. Her current practice location is 1547 Parkway Ste 100, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 229-7120.

Tracey Ann Jackson is licensed to practice in * (Not Available) (license number ) 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 1861643389.

Contact Information

	Tracey Ann Jackson, LBSW
	1547 Parkway Ste 100, Greenwood, SC 29646-4081
	(864) 229-7120
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Ann Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	1547 Parkway Ste 100, Greenwood, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861643389
Provider Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008

Medicare PECOS Information:

PECOS PAC ID: 3971974460
Enrollment ID: I20230119002897

Medical Identifiers

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

Identifier	Type	State	Issuer
1861643389	NPI	-	NPPES
421504	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Tracey Ann Jackson allows following entities to bill medicare on her behalf.

Entity Name	Self Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071

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. Tracey Ann 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
Tracey Ann Jackson, LBSW 2413 Cedar Spgs S, Abbeville, SC 29620-6246 Ph: (864) 446-3407	Tracey Ann Jackson, LBSW 1547 Parkway Ste 100, Greenwood, SC 29646-4081 Ph: (864) 229-7120

Reviews and Comments

Counselor in Greenwood, SC

Faith Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 100, Greenwood, SC 29646 Phone: 864-229-7120 Fax: 864-229-5526
Stephanie Landers Forrest, M.ED, CAC II, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1612 Rivers St, Greenwood, SC 29649 Phone: 864-227-1001
Monika Mcglohon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120
Cheryl Denise White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 300, Greenwood, SC 29646 Phone: 864-943-9592 Fax: 864-943-9594
Mrs. Carol C. Booker, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 100, Greenwood, SC 29646 Phone: 864-229-7120 Fax: 864-223-3706
Hallie Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120
Melanie Dawn Googe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 By Pass 225 S, Greenwood, SC 29646 Phone: 864-223-5111 Fax: 864-223-9245

Tracey Ann Jackson, LBSW - Medicare Counselor in Greenwood, SC