Ms La Toya Jackson, LCSW in Cedartown, GA - Medicare Social Worker Provider

Ms La Toya Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cedartown, Georgia. Her current practice location is 180 Water Oak Dr, Highland Rivers, Cedartown, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 748-0030.

Ms La Toya Jackson is licensed to practice in Georgia (license number CSW004423) 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 1588847594.

Contact Information

	Ms La Toya Jackson, LCSW
	180 Water Oak Dr, Highland Rivers, Cedartown, GA 30125-2095
	(770) 748-0030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms La Toya Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	180 Water Oak Dr, Cedartown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588847594
Provider Enumeration Date: 12/12/2007
Last Update Date: 03/28/2013

Medicare PECOS Information:

PECOS PAC ID: 6709053911
Enrollment ID: I20120111000338

Medical Identifiers

Medical identifiers for Ms La Toya Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588847594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	116036 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	CSW004423 (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. Ms La Toya Jackson allows following entities to bill medicare on her behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Ms La Toya 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
Ms La Toya Jackson, LCSW 412 Darter Dr Nw, Kennesaw, GA 30144-5088 Ph: (678) 401-2538	Ms La Toya Jackson, LCSW 180 Water Oak Dr, Highland Rivers, Cedartown, GA 30125-2095 Ph: (770) 748-0030

Reviews and Comments

Social Worker in Cedartown, GA

Ms. Stephanie Leigh Bishop-collum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-0939
Arlisha Gray, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500
Mindy Ackerman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 N Main St, Cedartown, GA 30125 Phone: 678-246-0014

Ms La Toya Jackson, LCSW - Medicare Clinical Social Worker in Cedartown, GA