Alexander Jackson, LCSW in Layton, UT - Medicare Social Worker Provider

Alexander Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Layton, Utah. His current practice location is 1750 E 3100 N, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 773-4840.

Alexander Jackson is licensed to practice in Utah (license number 9210284-3501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033457189.

Contact Information

	Alexander Jackson, LCSW
	1750 E 3100 N, Layton, UT 84040-2406
	(801) 773-4840
	(801) 525-8151

Map and Direction

Healthcare Provider's Profile

Full Name	Alexander Jackson
Gender	Male
Speciality	Social Worker - Clinical
Location	1750 E 3100 N, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033457189
Provider Enumeration Date: 01/24/2013
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7315399920
Enrollment ID: I20240119000522

Medical Identifiers

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

Identifier	Type	State	Issuer
1033457189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9210284-3501 (Utah)	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. Alexander Jackson allows following entities to bill medicare on his behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

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. Alexander 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
Alexander Jackson, LCSW 1750 E 3100 N, Layton, UT 84040-2406 Ph: (801) 773-4840	Alexander Jackson, LCSW 1750 E 3100 N, Layton, UT 84040-2406 Ph: (801) 773-4840

Reviews and Comments

Social Worker in Layton, UT

Kelley Diane Irmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Michele Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060

Alexander Jackson, LCSW - Medicare Clinical Social Worker in Layton, UT