Courtney Jackson, - Medicare Clinical Social Worker in Lumberton, NC

Courtney Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Lumberton, North Carolina. Her current practice location is 3581 Lackey St, Lumberton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 738-5023.

Courtney Jackson is licensed to practice in North Carolina (license number PO12000) 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 1043724156.

Contact Information

Courtney Jackson,
3581 Lackey St,
Lumberton, NC 28360-9048
(910) 738-5023
(910) 738-1451

Map and Direction




Healthcare Provider's Profile

Full NameCourtney Jackson
GenderFemale
SpecialitySocial Worker - Clinical
Location3581 Lackey St, Lumberton, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043724156
  • Provider Enumeration Date: 11/28/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4688000524
  • Enrollment ID: I20200212001758

Medical Identifiers

Medical identifiers for Courtney Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043724156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P012000 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical PO12000 (North Carolina)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. Courtney Jackson allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Behavioral Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932304714
PECOS PAC ID: 1052564473
Enrollment ID: O20130116000177
Entity NameBmsc Nc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831611649
PECOS PAC ID: 9739445552
Enrollment ID: O20171113000126

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. Courtney 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 AddressPractice Location Address
Courtney Jackson,
3581 Lackey St,
Lumberton, NC 28360-9048

Ph: (910) 738-5023
Courtney Jackson,
3581 Lackey St,
Lumberton, NC 28360-9048

Ph: (910) 738-5023

Reviews and Comments


Social Worker in Lumberton, NC

Marissa Cox,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4906 Pinedale Blvd, Lumberton, NC 28358
Phone: 910-258-1963    
Oscar Joel Rogers,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 661 Burns Rd, Lumberton, NC 28358
Phone: 910-738-5545    
Mrs. Lekeesha Shauntier Robinson, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 800 N Walnut St, Lumberton, NC 28358
Phone: 910-739-3064    
Mrs. Omekio Riggins, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1406 E 11th St, Lumberton, NC 28358
Phone: 910-536-3252    
Mrs. Stefanie Lambert, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 711 N Cedar St, Lumberton, NC 28358
Phone: 910-738-9973    
Miss Shonda Wilson, LCSW-A
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 402 N Pine St, Lumberton, NC 28358
Phone: 910-739-1666    Fax: 910-739-6822

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.