Dr Debra Kay Jackson, MD in Decatur, IL - Medicare Family Practice

Dr Debra Kay Jackson, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Decatur Memorial Hospital and her current practice location is 4775 E Maryland St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 864-3737.

Dr Debra Kay Jackson is licensed to practice in Illinois (license number 036092587) 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 1942253489.

Contact Information

	Dr Debra Kay Jackson, MD
	4775 E Maryland St, Decatur, IL 62521-8820
	(217) 864-3737
	(217) 864-3468

Map and Direction

Physician's Profile

Full Name	Dr Debra Kay Jackson
Gender	Female
Speciality	Family Practice
Experience	32 Years
Location	4775 E Maryland St, Decatur, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Debra Kay Jackson attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1993

NPI Data:

NPI Number: 1942253489
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5597776732
Enrollment ID: I20060601000043

Medical Identifiers

Medical identifiers for Dr Debra Kay Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942253489	NPI	-	NPPES
036.092587	Other	IL	MD LICESE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036092587 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elara Caring V	Springfield, IL	Home health agency
Decatur Memorial Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Decatur Memorial Hospital	6204731144	135

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. Dr Debra Kay Jackson allows following entities to bill medicare on her behalf.

Entity Name	Decatur Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685

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. Dr Debra Kay 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
Dr Debra Kay Jackson, MD 4775 E Maryland St, Decatur, IL 62521-8820 Ph: (217) 864-3737	Dr Debra Kay Jackson, MD 4775 E Maryland St, Decatur, IL 62521-8820 Ph: (217) 864-3737

Reviews and Comments

Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449
Dr. Vijay Krishan Sharma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849

Dr Debra Kay Jackson, MD - Medicare Family Practice in Decatur, IL