| Seth N Jackson, MSW | |
|
815 S Ash St, Nevada, MO 64772-3222 | |
| (417) 667-8352 | |
| (417) 667-9216 |
| Full Name | Seth N Jackson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 21 Years |
| Location | 815 S Ash St, Nevada, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699703579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2005034969 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Tri-county Health Care Consortium | 8123918257 | 30 |
| Entity Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
| Entity Name | Ozark Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Seth N Jackson, MSW 815 S Ash St, Nevada, MO 64772-3222 Ph: (417) 667-8352 | Seth N Jackson, MSW 815 S Ash St, Nevada, MO 64772-3222 Ph: (417) 667-8352 |
Chris F Thomas, PLCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 | |
Dewey Michael Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5687 | |
Tiffany Ann Pruitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-684-2644 Fax: 417-682-5757 | |
Jennifer Elizabeth Corbin-daulton, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
Callie Randel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 | |
Courtney D Cason, LCSW, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 320 N Mac Blvd, Nevada, MO 64772 Phone: 844-853-8937 | |
Mr. Harley V Gullett, ACSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S Prewitt St, Nevada, MO 64772 Phone: 417-667-8700 Fax: 417-667-7382 |