Chanell Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Lynwood, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Chris E Esguerra Md Pc and her current practice location is
3630 E Imperial Hwy, Lynwood, California. You can reach out to her office (for appointments etc.) via phone at
(310) 900-4619.
Chanell Jackson is licensed to practice in California (license number 110237) 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 1114402492.
Healthcare Provider's Profile
| Full Name | Chanell Jackson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 3630 E Imperial Hwy, Lynwood, California |
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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. |
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Medical Education and Training:
- Chanell Jackson attended and graduated from University Of Southern California Keck School Of Medicine in 2013
NPI Data:
- NPI Number: 1114402492
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 03/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 3375024870
- Enrollment ID: I20260223003236
Medical Identifiers
Medical identifiers for Chanell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114402492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 89545 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110237 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chris E Esguerra Md Pc | 8426456021 | 10 |
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. Chanell Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Chris E Esguerra MD PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801474598
PECOS PAC ID: 8426456021
Enrollment ID: O20211013000143 |
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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. Chanell 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 |
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Chanell Jackson,
3630 E Imperial Hwy,
Lynwood, CA 90262-2609
Ph: (310) 900-4619 | Chanell Jackson,
3630 E Imperial Hwy,
Lynwood, CA 90262-2609
Ph: (310) 900-4619 |
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