Dr Eileen Keenan Jackson, MD is a medicare enrolled "Family Medicine" physician in Moroni, Utah. She went to University Of Utah School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is
51 E Main St., Moroni, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 436-5250.
Dr Eileen Keenan Jackson is licensed to practice in Utah (license number 3687031205) 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 1518906320.
Physician's Profile
| Full Name | Dr Eileen Keenan Jackson |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 51 E Main St., Moroni, Utah |
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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:
- Dr Eileen Keenan Jackson attended and graduated from University Of Utah School Of Medicine in 2003
NPI Data:
- NPI Number: 1518906320
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 9133178577
- Enrollment ID: I20050112001116
Medical Identifiers
Medical identifiers for Dr Eileen Keenan Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518906320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3687031205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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 Eileen Keenan Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Dr Eileen Keenan 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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Dr Eileen Keenan Jackson, MD
51 E Main St.,
Moroni, UT 84646
Ph: (435) 283-4076 | Dr Eileen Keenan Jackson, MD
51 E Main St.,
Moroni, UT 84646
Ph: (435) 436-5250 |
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