Mrs Tyler Jackson, LCSW in Travis Afb, CA - Medicare Clinical Social Worker Provider

Mrs Tyler Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Travis Afb, California. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice St Bernards Hospital Inc. and her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-5174.

Mrs Tyler Jackson is licensed to practice in Arkansas (license number 8001C) 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 1225469364.

Contact Information

	Mrs Tyler Jackson, LCSW
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-5174
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tyler Jackson
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	101 Bodin Cir, Travis Afb, California
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:

Mrs Tyler Jackson graduated from medical school in 2016

NPI Data:

NPI Number: 1225469364
Provider Enumeration Date: 11/27/2013
Last Update Date: 05/13/2026

Medicare PECOS Information:

PECOS PAC ID: 1850790163
Enrollment ID: I20210518002653

Medical Identifiers

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

Identifier	Type	State	Issuer
1225469364	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8001C (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Bernards Hospital Inc.	0941105480	188

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. Mrs Tyler Jackson allows following entities to bill medicare on her behalf.

Entity Name	St Bernards Hospital Inc.
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1518327287 PECOS PAC ID: 0941105480 Enrollment ID: O20070718000531

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. Mrs Tyler 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
Mrs Tyler Jackson, LCSW 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174	Mrs Tyler Jackson, LCSW 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174

Reviews and Comments

Social Worker in Travis Afb, CA

Mr. John Edward Simons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Jennifer Magnuson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Larry D Kirsch, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Michael Byron Slack, PH.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, David Grant Medical Center, Travis Afb, CA 94535 Phone: 707-423-3811
Diane Darlene Dighiera, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Ms. Adriana Nicole Hollins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174

Mrs Tyler Jackson, LCSW - Medicare Clinical Social Worker in Travis Afb, CA