Ms Kimberly Erin Jackson-massaro, MSW/LCSW is a medicare enrolled "Social Worker" provider in Clovis, California. Her current practice location is
3031 Morris Ave, Clovis, California. You can reach out to her office (for appointments etc.) via phone at
(619) 578-9255.
Ms Kimberly Erin Jackson-massaro is licensed to practice in * (Not Available) (license number ) 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 1699969188.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Erin Jackson-massaro |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 3031 Morris Ave, Clovis, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699969188
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 12/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214447655
- Enrollment ID: I20250605003493
Medical Identifiers
Medical identifiers for Ms Kimberly Erin Jackson-massaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699969188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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 Kimberly Erin Jackson-massaro allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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 Kimberly Erin Jackson-massaro 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 |
|---|
Ms Kimberly Erin Jackson-massaro, MSW/LCSW
3625 1st Ave Apt 38,
San Diego, CA 92103-4033
Ph: (619) 578-9255 | Ms Kimberly Erin Jackson-massaro, MSW/LCSW
3031 Morris Ave,
Clovis, CA 93619-6904
Ph: (619) 578-9255 |
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