Mrs Brandi Nicole Jackson, MSW is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
5504 Monterey Hwy, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(510) 674-5555.
Mrs Brandi Nicole Jackson is licensed to practice in California (license number 89088) 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 1255793501.
Healthcare Provider's Profile
Full Name | Mrs Brandi Nicole Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5504 Monterey Hwy, San Jose, California |
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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: 1255793501
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 03/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335571256
- Enrollment ID: I20240416003889
Medical Identifiers
Medical identifiers for Mrs Brandi Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255793501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 89088 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 89088 (California) | Primary |
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. Mrs Brandi Nicole 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 |
Mrs Brandi Nicole Jackson, MSW 4470 W Sunset Blvd Ste 107, Los Angeles, CA 90027-6309 Ph: (510) 674-5555 | Mrs Brandi Nicole Jackson, MSW 5504 Monterey Hwy, San Jose, CA 95138-1529 Ph: (510) 674-5555 |
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