Courtney Marie Jackson, MD in Indianapolis, IN

Courtney Marie Jackson, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. Her current practice location is 6820 Parkdale Pl Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 297-7773.

Courtney Marie Jackson is licensed to practice in Indiana (license number 01088399A) 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 1013533926.

Contact Information

	Courtney Marie Jackson, MD
	6820 Parkdale Pl Ste 100, Indianapolis, IN 46254-4699
	(317) 297-7773
	(317) 968-1192

Map and Direction

Physician's Profile

Full Name	Courtney Marie Jackson
Gender	Female
Speciality	Family Medicine
Location	6820 Parkdale Pl Ste 100, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013533926
Provider Enumeration Date: 06/17/2020
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7719300292
Enrollment ID: I20230804000959

Medical Identifiers

Medical identifiers for Courtney Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013533926	NPI	-	NPPES
068010931	Other	IN	MEDICARE PTAN
266430813	Other		MEDICARE PTAN
300041262	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11021251A (Indiana)	Secondary
207Q00000X	Family Medicine	01088399A (Indiana)	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. Courtney Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	University Family Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Courtney Marie 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
Courtney Marie Jackson, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Courtney Marie Jackson, MD 6820 Parkdale Pl Ste 100, Indianapolis, IN 46254-4699 Ph: (317) 297-7773

Reviews and Comments

Family Medicine Doctors in Indianapolis, IN

Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990

Courtney Marie Jackson, MD - Medicare Family Medicine in Indianapolis, IN