Ms Elizabeth A Jackson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1111 S Orchard St Ste 100, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 794-9588.
Ms Elizabeth A Jackson is licensed to practice in Idaho (license number LCSW-33837) 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 1649694233.
Healthcare Provider's Profile
| Full Name | Ms Elizabeth A Jackson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 1111 S Orchard St Ste 100, Boise, Idaho |
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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:
- Ms Elizabeth A Jackson graduated from medical school in 2011
NPI Data:
- NPI Number: 1649694233
- Provider Enumeration Date: 02/18/2014
- Last Update Date: 03/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416258587
- Enrollment ID: I20151214002209
Medical Identifiers
Medical identifiers for Ms Elizabeth A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649694233 | NPI | - | NPPES |
| 1649694233 | Medicaid | ID | |
| 3387 | Other | ID | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PCSW-535 (Wyoming) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMSW-31478 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-33837 (Idaho) | 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. Ms Elizabeth A Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Utopia Counselling And Adoption Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578076865
PECOS PAC ID: 8628337128
Enrollment ID: O20180108002545 |
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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. Ms Elizabeth A 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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Ms Elizabeth A Jackson, LCSW
1111 S Orchard St Ste 100,
Boise, ID 83705-1961
Ph: (208) 794-9588 | Ms Elizabeth A Jackson, LCSW
1111 S Orchard St Ste 100,
Boise, ID 83705-1961
Ph: (208) 794-9588 |
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