Kim M Jackson, LISW in Cleveland, OH - Medicare Social Worker Provider

Kim M Jackson, LISW is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Ohio. Her current practice location is 3500 Carnegie Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 260-8554.

Kim M Jackson is licensed to practice in Ohio (license number I2506226) 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 1003126699.

Contact Information

	Kim M Jackson, LISW
	3500 Carnegie Ave, Cleveland, OH 44115-2641
	(440) 260-8554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim M Jackson
Gender	Female
Speciality	Social Worker - Clinical
Location	3500 Carnegie Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003126699
Provider Enumeration Date: 10/15/2010
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1850816877
Enrollment ID: I20250422002574

Medical Identifiers

Medical identifiers for Kim M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003126699	NPI	-	NPPES
0268768	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I2506226 (Ohio)	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. Kim M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Ohioguidestone
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507

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. Kim M 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
Kim M Jackson, LISW 3500 Carnegie Ave, Cleveland, OH 44115-2641 Ph: (440) 260-8554	Kim M Jackson, LISW 3500 Carnegie Ave, Cleveland, OH 44115-2641 Ph: (440) 260-8554

Reviews and Comments

Social Worker in Cleveland, OH

Claudette M Williams, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5500 S Marginal Rd, Cleveland, OH 44103 Phone: 216-221-7588
Sherah Y Newman, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12201 Euclid Ave, Cleveland, OH 44106 Phone: 216-707-3469 Fax: 216-707-3529
Jacqueline H Goodin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3430 Rocky River Dr, Cleveland, OH 44111 Phone: 216-688-1111 Fax: 216-251-2886
Ms. Heather Ross, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13705 Shaker Blvd., Cleveland, OH 44120 Phone: 216-570-7314
Mrs. Mervat M Khafaga, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4115 Bridge Ave, Cleveland, OH 44113 Phone: 216-631-5800 Fax: 216-631-4595
Ruth Sudilovsky-pecha, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 526 Superior Ave E, #1400, Cleveland, OH 44114 Phone: 216-619-6194

Kim M Jackson, LISW - Medicare Clinical Social Worker in Cleveland, OH