Elyshua Renee Jackson, LISW in Columbus, OH - Medicare Social Worker Provider

Elyshua Renee Jackson, LISW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. Her current practice location is 1550 Old Henderson Rd Ste N-271, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 456-7334.

Elyshua Renee Jackson is licensed to practice in Ohio (license number I.2405083) 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 1477306454.

Contact Information

	Elyshua Renee Jackson, LISW
	1550 Old Henderson Rd Ste N-271, Columbus, OH 43220-3626
	(614) 456-7334
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elyshua Renee Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	1550 Old Henderson Rd Ste N-271, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477306454
Provider Enumeration Date: 04/09/2024
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2567991219
Enrollment ID: I20250124000504

Medical Identifiers

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

Identifier	Type	State	Issuer
1477306454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2405083 (Ohio)	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. Elyshua Renee 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: O20220604000326

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. Elyshua Renee 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
Elyshua Renee Jackson, LISW 3053 E Hudson St, Columbus, OH 43219-1632 Ph: (614) 537-2240	Elyshua Renee Jackson, LISW 1550 Old Henderson Rd Ste N-271, Columbus, OH 43220-3626 Ph: (614) 456-7334

Reviews and Comments

Social Worker in Columbus, OH

Andrea L Goehring, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Bethel Rd, Columbus, OH 43220 Phone: 614-442-0664 Fax: 614-442-0620
Mr. Dale James Smith, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-299-6600 Fax: 614-298-2224
Abbe M Straw, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 918 S Front St, Columbus, OH 43206 Phone: 614-445-8277
Paul Parker Wilkinson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 N 4th St, Columbus, OH 43202 Phone: 614-432-2273
Elenice Gomes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Sullivant Ave, Columbus, OH 43222 Phone: 614-752-0333 Fax: 614-995-3268
Hope Anthony, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 S High St, Columbus, OH 43215 Phone: 614-227-9444
Mary Evans, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6503 E Broad St, Columbus, OH 43213 Phone: 614-355-8160 Fax: 614-355-8180

Elyshua Renee Jackson, LISW - Medicare Clinical Social Worker in Columbus, OH