Dr Evan Leigh Jackson, DO - Medicare Emergency Medicine in Chicago, IL

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Dr Evan Leigh Jackson, DO is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. She went to Touro Un College Of Osteopathic Medicine, Vallejo and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cepamerica Illinois Llp and her current practice location is 1740 W Taylor St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (866) 600-2273.

Dr Evan Leigh Jackson is licensed to practice in Illinois (license number 036155621) 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 1013412634.

Contact Information

Dr Evan Leigh Jackson, DO
1740 W Taylor St,
Chicago, IL 60612-7232
(866) 600-2273
Not Available

Map and Direction




Physician's Profile

Full NameDr Evan Leigh Jackson
GenderFemale
SpecialityEmergency Medicine
Experience6 Years
Location1740 W Taylor St, Chicago, Illinois
Accepts Medicare AssignmentsYes. 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 Evan Leigh Jackson attended and graduated from Touro Un College Of Osteopathic Medicine, Vallejo in 2018
  NPI Data:
  • NPI Number: 1013412634
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 05/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416205430
  • Enrollment ID: I20211025000142

Medical Identifiers

Medical identifiers for Dr Evan Leigh Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013412634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.073354 (Illinois)Secondary
207P00000XEmergency Medicine 02006363A (Indiana)Secondary
207P00000XEmergency Medicine 036155621 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mt Sinai Hospital Medical CenterChicago, ILHospital
Osf Little Company Of Mary Medical CenterEvergreen park, ILHospital
Holy Cross HospitalChicago, ILHospital
Gottlieb Memorial HospitalMelrose park, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633417

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 Evan Leigh Jackson allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Evan Leigh 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 AddressPractice Location Address
Dr Evan Leigh Jackson, DO
808 South Wood Street, 469 Cme, M/c 724,
Chicago, IL 60612

Ph: (312) 413-7492		Dr Evan Leigh Jackson, DO
1740 W Taylor St,
Chicago, IL 60612-7232

Ph: (866) 600-2273

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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