Amy Jackson, MSW in Wake Forest, NC - Medicare Clinical Social Worker Provider

Amy Jackson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Wake Forest, North Carolina. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindpath Care Centers North Carolina Pllc and her current practice location is 120 Capcom Ave Ste 101, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 792-3967.

Amy Jackson is licensed to practice in North Carolina (license number C008972) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386986073.

Contact Information

	Amy Jackson, MSW
	120 Capcom Ave Ste 101, Wake Forest, NC 27587-6537
	(919) 792-3967
	(919) 761-5026

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Jackson
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	120 Capcom Ave Ste 101, Wake Forest, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Jackson graduated from medical school in 2010

NPI Data:

NPI Number: 1386986073
Provider Enumeration Date: 03/20/2013
Last Update Date: 08/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5698090587
Enrollment ID: I20150218000233

Medical Identifiers

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

Identifier	Type	State	Issuer
1386986073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C008972 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindpath Care Centers North Carolina Pllc	4688655517	84

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. Amy Jackson allows following entities to bill medicare on her behalf.

Entity Name	Mindpath Care Centers North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508803214 PECOS PAC ID: 4688655517 Enrollment ID: O20040526001582

Entity Name	Rha Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447376306 PECOS PAC ID: 8426196072 Enrollment ID: O20091119000172

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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. Amy 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
Amy Jackson, MSW 204 Muirs Chapel Rd, Suite 305, Greensboro, NC 27410-6173 Ph: () -	Amy Jackson, MSW 120 Capcom Ave Ste 101, Wake Forest, NC 27587-6537 Ph: (919) 792-3967

Reviews and Comments

Social Worker in Wake Forest, NC

Tracee Gregory, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587 Phone: 919-554-1231 Fax: 919-554-2406
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026
Hilary Leath Norris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 Forest Rd, Wake Forest, NC 27587 Phone: 919-608-4096
Kimberly L Konderla, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd, Wake Forest, NC 27587 Phone: 919-263-9592

Amy Jackson, MSW - Medicare Clinical Social Worker in Wake Forest, NC