Bertha Jackson, in Union City, GA - Medicare Social Worker Provider

Bertha Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Union City, Georgia. Her current practice location is 6224 Shenfield Ln, Union City, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 236-8813.

Bertha Jackson is licensed to practice in Georgia (license number CSW008840) 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 1720852536.

Contact Information

	Bertha Jackson,
	6224 Shenfield Ln, Union City, GA 30291-7117
	(470) 236-8813
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bertha Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	6224 Shenfield Ln, Union City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720852536
Provider Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3476902495
Enrollment ID: I20231215000201

Medical Identifiers

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

Identifier	Type	State	Issuer
1720852536	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW008840 (Georgia)	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. Bertha Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Bertha 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
Bertha Jackson, 6224 Shenfield Ln, Union City, GA 30291-7117 Ph: (470) 236-8813	Bertha Jackson, 6224 Shenfield Ln, Union City, GA 30291-7117 Ph: (470) 236-8813

Reviews and Comments

Social Worker in Union City, GA

Shae-dee Reigns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3835 Cypress Pointe Dr, Union City, GA 30291 Phone: 347-770-7423
Dr. Arlesia Malone, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7902 Four Oaks Ct, Union City, GA 30291 Phone: 470-636-7688
Mrs. Melanie L. Ponder-wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4405 Mall Blvd, Union City, GA 30291 Phone: 770-892-3200
Ms. Charmaine Veronica Mattocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7413 Gossamer St, Union City, GA 30291 Phone: 404-664-2381
Beatrice Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Shannon Blvd Apt 6b, Union City, GA 30291 Phone: 770-774-3493
Mrs. Retina Deon Dawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Alexander Ave, Union City, GA 30291 Phone: 404-428-8038
Dr. Donnetta Shante Washington, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4550 Jonesboro Rd Ste A2-208, Union City, GA 30291 Phone: 205-575-9303

Bertha Jackson, - Medicare Clinical Social Worker in Union City, GA