Jennifer M Bellucci Jackson, MD | |
431 W Liberty St, Wauconda, IL 60084-2452 | |
(847) 526-2151 | |
(847) 526-2017 |
Full Name | Jennifer M Bellucci Jackson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 431 W Liberty St, Wauconda, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689669293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036083207 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meridian Home Health Care Services, Inc | Hainesville, IL | Home health agency |
Advocate Home Health Care Serv | Lombard, IL | Home health agency |
Vista Medical Center East | Waukegan, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Medicine Specialists S.c. | 0042206252 | 26 |
Family Medicine Specialists Of Round Lake Incorporated S C | 6002957511 | 18 |
Family Medicine Specialists Of Mount Prospect S C | 8224166566 | 11 |
Entity Name | Family Medicine Specialists S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063406601 PECOS PAC ID: 0042206252 Enrollment ID: O20040422001425 |
Entity Name | Family Medicine Specialists Of Round Lake Incorporated S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740515253 PECOS PAC ID: 6002957511 Enrollment ID: O20100106000383 |
Entity Name | Family Medicine Specialists Of Mount Prospect S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437389475 PECOS PAC ID: 8224166566 Enrollment ID: O20100507000184 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Bellucci Jackson, MD Po Box 6037, 431 W Liberty St, Wauconda, IL 60084-6037 Ph: (847) 526-2151 | Jennifer M Bellucci Jackson, MD 431 W Liberty St, Wauconda, IL 60084-2452 Ph: (847) 526-2151 |
Warren G Kruckmeyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Brown St, Wauconda, IL 60084 Phone: 847-795-3350 Fax: 847-487-2841 | |
David J Alengo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Anthony Cipolla, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Brown St Ste A, Wauconda, IL 60084 Phone: 847-795-3350 Fax: 847-487-2841 | |
Kathleen Marie Mariani, P.A. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 |