Carly Anne Jackson, PA-C - Medicare Physician Assistant in Rockford, IL

Carly Anne Jackson, PA-C is a medicare enrolled "Physician Assistant" in Rockford, Illinois. She went to Middlesex University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mid-columbia Medical Center and her current practice location is 324 Roxbury Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 398-9491.

Carly Anne Jackson is licensed to practice in * (Not Available) (license number ) 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 1053696971.

Contact Information

Carly Anne Jackson, PA-C
324 Roxbury Rd,
Rockford, IL 61107-5090
(815) 398-9491
(815) 381-7333

Map and Direction




Provider's Profile

Full NameCarly Anne Jackson
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location324 Roxbury Rd, Rockford, 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:
  • Carly Anne Jackson attended and graduated from Middlesex University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1053696971
  • Provider Enumeration Date: 10/12/2011
  • Last Update Date: 06/05/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3577738244
  • Enrollment ID: I20180928001725

Medical Identifiers

Medical identifiers for Carly Anne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053696971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mid-columbia Medical CenterThe dalles, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid-columbia Medical Center377948725198

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. Carly Anne 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
Carly Anne Jackson, PA-C
Box 78534,
Milwaukee, WI 53278

Ph: (815) 398-9491
Carly Anne Jackson, PA-C
324 Roxbury Rd,
Rockford, IL 61107-5090

Ph: (815) 398-9491

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.

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.