Sally Ann Davis-jackson, MSW, PLMHP, CSW is a medicare enrolled "Social Worker - Clinical" provider in Bassett, Nebraska. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Midwest Country Clinic Llc and her current practice location is
202 E Highway 20, Bassett, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 684-2908.
Sally Ann Davis-jackson is licensed to practice in Nebraska (license number 12003) 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 1225672371.
Healthcare Provider's Profile
| Full Name | Sally Ann Davis-jackson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 202 E Highway 20, Bassett, Nebraska |
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| 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:
- Sally Ann Davis-jackson graduated from medical school in 2019
NPI Data:
- NPI Number: 1225672371
- Provider Enumeration Date: 11/01/2019
- Last Update Date: 11/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799128849
- Enrollment ID: I20240206002985
Medical Identifiers
Medical identifiers for Sally Ann Davis-jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225672371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 12003 (Nebraska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Midwest Country Clinic Llc | 2466768809 | 4 |
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. Sally Ann Davis-jackson allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Country Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417155433 PECOS PAC ID: 2466768809 Enrollment ID: O20150901000445 |
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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. Sally Ann Davis-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 |
Sally Ann Davis-jackson, MSW, PLMHP, CSW Po Box 26, Bassett, NE 68714-0026 Ph: (402) 684-2908 | Sally Ann Davis-jackson, MSW, PLMHP, CSW 202 E Highway 20, Bassett, NE 68714-6052 Ph: (402) 684-2908 |
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