Dr Mitchell Alin Jackson, MD is a medicare enrolled "Ophthalmology" physician in Lake Villa, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Jacksoneye Sc, Jacksoneye Sc and his current practice location is
300 N Milwaukee Ave, Suite L Jacksoneye Sc, Lake Villa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 356-0700.
Dr Mitchell Alin Jackson is licensed to practice in Illinois (license number 036083377) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902958929.
Physician's Profile
| Full Name | Dr Mitchell Alin Jackson |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 35 Years |
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| Location | 300 N Milwaukee Ave, Lake Villa, Illinois |
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| Accepts Medicare Assignments | Yes. He 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 Mitchell Alin Jackson attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989
NPI Data:
- NPI Number: 1902958929
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 01/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 6406748169
- Enrollment ID: I20040327000088
Medical Identifiers
Medical identifiers for Dr Mitchell Alin Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902958929 | NPI | - | NPPES |
| 0004932263 | Other | IL | BCBS # |
| 208201 | Other | IL | MEDICARE ID |
| 036083377 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 036083377 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jacksoneye Sc | 3072405737 | 2 |
| Jacksoneye Sc | 3072405737 | 2 |
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 Mitchell Alin Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Jacksoneye Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073669834
PECOS PAC ID: 3072405737
Enrollment ID: O20040326001097 |
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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 Mitchell Alin 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 Mitchell Alin Jackson, MD
300 N Milwaukee Ave, Suite L Jacksoneye Sc,
Lake Villa, IL 60046
Ph: (847) 356-0700 | Dr Mitchell Alin Jackson, MD
300 N Milwaukee Ave, Suite L Jacksoneye Sc,
Lake Villa, IL 60046
Ph: (847) 356-0700 |
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