Nedra Renae Jackson, LCSW, CADC-CAS I in Oakland, CA

Nedra Renae Jackson, LCSW, CADC-CAS I is a medicare enrolled "Social Worker - Clinical" provider in Oakland, California. Her current practice location is 550 Elysian Fields Dr, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 813-0734.

Nedra Renae Jackson is licensed to practice in California (license number LCSW99389) 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 1649000589.

Contact Information

	Nedra Renae Jackson, LCSW, CADC-CAS I
	550 Elysian Fields Dr, Oakland, CA 94605-5010
	(510) 813-0734
	(510) 638-3828

Map and Direction

Healthcare Provider's Profile

Full Name	Nedra Renae Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	550 Elysian Fields Dr, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649000589
Provider Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7416478482
Enrollment ID: I20250306000986

Medical Identifiers

Medical identifiers for Nedra Renae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649000589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW99389 (California)	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. Nedra Renae Jackson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Nedra Renae 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
Nedra Renae Jackson, LCSW, CADC-CAS I 550 Elysian Fields Dr, Oakland, CA 94605-5010 Ph: (510) 813-0734	Nedra Renae Jackson, LCSW, CADC-CAS I 550 Elysian Fields Dr, Oakland, CA 94605-5010 Ph: (510) 813-0734

Reviews and Comments

Social Worker in Oakland, CA

Ms. Karen Lisa Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 747 52nd Street, Oakland, CA 94609 Phone: 510-701-8751
Mr. Gilberto Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3867 Howe St, Oakland, CA 94611 Phone: 510-531-3894
Patricia Ann Sweetwine, MSW, MPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5709 Market St, Oakland, CA 94608 Phone: 510-652-3300 Fax: 510-652-7720
Ms. Yvonne Diane Escarsega, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4373 Fax: 510-437-5170
Ms. Stacey Nicole Francis, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Brockhurst St, Oakland, CA 94608 Phone: 510-923-9600
Mrs. Abby Ross Blum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8945 Golf Links Rd, Oakland, CA 94605 Phone: 510-317-1444
Aretha Hampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 34th St, Oakland, CA 94609 Phone: 510-847-8847

Nedra Renae Jackson, LCSW, CADC-CAS I - Medicare Clinical Social Worker in Oakland, CA