Victoria Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Commerce, Texas. Her current practice location is
101 King Plz Ste D, Commerce, Texas. You can reach out to her office (for appointments etc.) via phone at
(773) 746-3867.
Victoria Jackson is licensed to practice in Texas (license number 103434) 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 1659111342.
Healthcare Provider's Profile
Full Name | Victoria Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 101 King Plz Ste D, Commerce, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659111342
- Provider Enumeration Date: 05/29/2024
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214476712
- Enrollment ID: I20240828003119
Medical Identifiers
Medical identifiers for Victoria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659111342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 103434 (Texas) | 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. Victoria Jackson allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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. Victoria 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 |
Victoria Jackson, LCSW 627 Las Brisas Dr, Mesquite, TX 75149-5273 Ph: (773) 746-3867 | Victoria Jackson, LCSW 101 King Plz Ste D, Commerce, TX 75428-3734 Ph: (773) 746-3867 |
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