Mrs Brandi Nicole Jackson, MSW in Hayward, CA

Mrs Brandi Nicole Jackson, MSW is a medicare enrolled "Counselor - Mental Health" provider in Hayward, California. Her current practice location is 22505 Woodroe Ave, Hayward, California. You can reach out to her office (for appointments etc.) via phone at (510) 318-6112.

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.

Contact Information

	Mrs Brandi Nicole Jackson, MSW
	22505 Woodroe Ave, Hayward, CA 94541-3410
	(510) 318-6112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Brandi Nicole Jackson
Gender	Female
Speciality	Counselor - Mental Health
Location	22505 Woodroe Ave, Hayward, California
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: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9335571256
Enrollment ID: I20191114003298

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)	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. Mrs Brandi Nicole Jackson allows following entities to bill medicare on her behalf.

Entity Name	Hiawatha Harris Md Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942420724 PECOS PAC ID: 1052580115 Enrollment ID: O20110805000150

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 963 W Tennyson Rd Apt 48, Hayward, CA 94544-5132 Ph: (503) 481-6911	Mrs Brandi Nicole Jackson, MSW 22505 Woodroe Ave, Hayward, CA 94541-3410 Ph: (510) 318-6112

Reviews and Comments

Counselor in Hayward, CA

Ashley Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22245 Main St Ste 200, Hayward, CA 94541 Phone: 510-566-5513
Jenifer Castaneda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22505 Woodroe Ave, Hayward, CA 94541 Phone: 510-537-9223
Gabriela Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26574 Flamingo Ave, Hayward, CA 94544 Phone: 510-862-9871
Karen Yvette Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 682 Briergate Way, Hayward, CA 94544 Phone: 510-487-2910 Fax: 510-487-2916
Ms. Josephine E Parker, MA, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1065 A St, Hayward, CA 94541 Phone: 734-972-5724
Alana Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23640 Reed Way, Hayward, CA 94541 Phone: 510-820-3034
Crystal Jeanne Buchter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Jackson St, Hayward, CA 94544 Phone: 510-886-8696

Mrs Brandi Nicole Jackson, MSW - Medicare Counselor in Hayward, CA