Mr Jacari Da Von Jackson, - Medicare Counselor in Los Angeles, CA

  1. Home
  2. Counselors
  3. CA
  4. Los Angeles
Mr Jacari Da Von Jackson, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is 14003 Eadall Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (424) 250-8272.

Mr Jacari Da Von Jackson is licensed to practice in California (license number LCSW121520) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790277648.

Contact Information

Mr Jacari Da Von Jackson,
14003 Eadall Ave,
Los Angeles, CA 90061-2143
(424) 250-8272
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jacari Da Von Jackson
GenderMale
SpecialitySocial Worker - Clinical
Location14003 Eadall Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790277648
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 11/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537501184
  • Enrollment ID: I20240528002252

Medical Identifiers

Medical identifiers for Mr Jacari Da Von Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790277648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health ASW89841 (California)Secondary
1041C0700XSocial Worker - Clinical LCSW121520 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Mr Jacari Da Von Jackson allows following entities to bill medicare on his behalf.
Entity NameSt. Johns Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434

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. Mr Jacari Da Von 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 AddressPractice Location Address
Mr Jacari Da Von Jackson,
14003 Eadall Ave,
Los Angeles, CA 90061-2143

Ph: (310) 409-3118		Mr Jacari Da Von Jackson,
14003 Eadall Ave,
Los Angeles, CA 90061-2143

Ph: (424) 250-8272

Reviews and Comments


Social Worker in Los Angeles, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.