Jackie Ta, DO in Chicago, IL - Medicare Anesthesiology

Jackie Ta, DO is a medicare enrolled "Anesthesiology" physician in Chicago, Illinois. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Lifebridge Anesthesia Associates Llc and her current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (703) 342-9546.

Jackie Ta is licensed to practice in Illinois (license number 125067630) 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 1649652165.

Contact Information

	Jackie Ta, DO
	1653 W Congress Pkwy, Chicago, IL 60612-3833
	(703) 342-9546
	Not Available

Map and Direction

Physician's Profile

Full Name	Jackie Ta
Gender	Female
Speciality	Anesthesiology
Experience	9 Years
Location	1653 W Congress Pkwy, Chicago, 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:

Jackie Ta graduated from medical school in 2015

NPI Data:

NPI Number: 1649652165
Provider Enumeration Date: 06/20/2015
Last Update Date: 06/20/2015

Medicare PECOS Information:

PECOS PAC ID: 2062704257
Enrollment ID: I20200709000071

Medical Identifiers

Medical identifiers for Jackie Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649652165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	125067630 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sinai Hospital Of Baltimore	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Anesthesia Associates Llc	2062514888	98

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. Jackie Ta allows following entities to bill medicare on her behalf.

Entity Name	North American Partners In Anesthesia Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405

Entity Name	First Colonies Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119

Entity Name	Lifebridge Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003992868 PECOS PAC ID: 2062514888 Enrollment ID: O20230627000605

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. Jackie Ta 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
Jackie Ta, DO 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (703) 342-9546	Jackie Ta, DO 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (703) 342-9546

Reviews and Comments

Anesthesiology Doctors in Chicago, IL

Dr. Aaron Daniel Kallsnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-282-7000
Mr. Abbas Al-qamari, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Michigan Ave, Unit 602, Chicago, IL 60605 Phone: 847-863-7486
Dr. Raymond S Belmonte, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 E Washington St, Suite 300, Chicago, IL 60602 Phone: 312-726-3329
Cassidy Schwab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-695-0061
Vidhi Srivastava, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273
Samuel Johnson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St Ste 403, Chicago, IL 60612 Phone: 312-942-3134 Fax: 501-380-2282
Dr. Kimberly Lois Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E 51st St, Chicago, IL 60615 Phone: 312-572-2680 Fax: 312-572-2686

Jackie Ta, DO - Medicare Anesthesiology in Chicago, IL