Amanda Jackson, in Layton, UT - Medicare Social Worker Provider

Amanda Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Layton, Utah. Her current practice location is 1660 W Antelope Dr Ste 320, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-4840.

Amanda Jackson is licensed to practice in Utah (license number 4959997-3501) 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 1245755800.

Contact Information

	Amanda Jackson,
	1660 W Antelope Dr Ste 320, Layton, UT 84041-1172
	(801) 773-4840
	(801) 525-8151

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	1660 W Antelope Dr Ste 320, 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: 1245755800
Provider Enumeration Date: 08/04/2017
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3678989506
Enrollment ID: I20210301002222

Medical Identifiers

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

Identifier	Type	State	Issuer
1245755800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	4959997-3501 (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. Amanda Jackson allows following entities to bill medicare on her 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

Entity Name	Cedar Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230

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. Amanda 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
Amanda Jackson, Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840	Amanda Jackson, 1660 W Antelope Dr Ste 320, Layton, UT 84041-1172 Ph: (801) 773-4840

Reviews and Comments

Social Worker in Layton, UT

Kelley Diane Irmen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled 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
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
Rod F Thornley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Emily Duffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060

Amanda Jackson, - Medicare Clinical Social Worker in Layton, UT