Ralph Jackson, DO - Medicare Emergency Medicine in Chicago, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Chicago
Ralph Jackson, DO is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 2701 W 68th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 471-8000.

Ralph Jackson is licensed to practice in Illinois (license number 036084649) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033131446.

Contact Information

Ralph Jackson, DO
2701 W 68th St,
Chicago, IL 60629-1813
(773) 471-8000
Not Available

Map and Direction




Physician's Profile

Full NameRalph Jackson
GenderMale
SpecialityEmergency Medicine
Location2701 W 68th St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033131446
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456546449
  • Enrollment ID: I20101116001082

Medical Identifiers

Medical identifiers for Ralph Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033131446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036084649 (Illinois)Primary

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. Ralph Jackson allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747

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. Ralph 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
Ralph Jackson, DO
2000 Spring Rd, Suite 200,
Oak Brook, IL 60523-1804

Ph: (630) 472-8800		Ralph Jackson, DO
2701 W 68th St,
Chicago, IL 60629-1813

Ph: (773) 471-8000

Reviews and Comments


Emergency Medicine Doctors in Chicago, IL

Jacqueline Alexandria Khorasanee, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611
Phone: 312-503-4756    
Dr. Robert R Turelli Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-296-5878    Fax: 773-296-7818
Dr. Kristen Grabow Moore, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611
Phone: 312-694-7000    
Tomasz Piotr Lis, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Dr. Gillian E Munitz, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654
Phone: 312-404-0200    
Michael Anthony Hoks Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631
Phone: 773-792-7321    
Dr. Ro Gonsalves, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2320 E 93rd St, Chicago, IL 60617
Phone: 773-967-2000    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.