Erica Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Troy, Virginia. Her current practice location is 
310 Ironhound Dr, Troy, Virginia. You can reach out to her office (for appointments etc.) via phone at 
(804) 489-8442.
Erica Jackson is licensed to practice in * (Not Available) (license number ) 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 1538867494.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Erica Jackson | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 310 Ironhound Dr, Troy, Virginia | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1538867494
- Provider Enumeration Date: 02/20/2023
- Last Update Date: 02/21/2023
  Medicare PECOS Information:
- PECOS PAC ID: 8325480213
- Enrollment ID: I20240523001368
 
		 
		 
Medical Identifiers
		Medical identifiers for Erica Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1538867494 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Erica Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Dominion Behavioral Healthcare | 
|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
|---|
| Entity Identifiers | NPI Number: 1043262215 PECOS PAC ID: 6709803570
 Enrollment ID: O20051031000975
 | 
|---|
		 
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. Erica 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 | 
|---|
		| Erica Jackson, LCSW Po Box 28202,
 Richmond, VA 23228-0202
 Ph: () -
 | Erica Jackson, LCSW 310 Ironhound Dr,
 Troy, VA 22974-4368
 Ph: (804) 489-8442
 | 
		
		 
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