Carmella Jackson, - Medicare Nurse Practitioner in Matteson, IL

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Carmella Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Matteson, Illinois. Her current practice location is 916 School Ave, Matteson, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 941-1587.

Carmella Jackson is licensed to practice in Illinois (license number 209020232) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336782200.

Contact Information

Carmella Jackson,
916 School Ave,
Matteson, IL 60443-1832
(773) 941-1587
Not Available

Map and Direction




Provider's Profile

Full NameCarmella Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location916 School Ave, Matteson, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336782200
  • Provider Enumeration Date: 10/23/2019
  • Last Update Date: 10/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648608372
  • Enrollment ID: I20200312000080

Medical Identifiers

Medical identifiers for Carmella Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336782200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209020232 (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. Carmella Jackson allows following entities to bill medicare on her behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameOnsite Health Specialty Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265024194
PECOS PAC ID: 1850708892
Enrollment ID: O20210318001615

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. Carmella 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
Carmella Jackson,
916 School Ave,
Matteson, IL 60443-1832

Ph: (773) 941-1587		Carmella Jackson,
916 School Ave,
Matteson, IL 60443-1832

Ph: (773) 941-1587

Reviews and Comments


Nurse Practitioner Nurses in Matteson, IL

Dawyn Marie Jenkins,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 Town Center Rd, Matteson, IL 60443
Phone: 708-852-5179    Fax: 708-481-2010
Mrs. Ukachi O. Nwankpa, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1013 Warwick Dr, Matteson, IL 60443
Phone: 773-407-7814    Fax: 708-980-2953
Ann M Waldron, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20939 S Cicero Ave, Matteson, IL 60443
Phone: 708-679-2370    
Dr. Natalia Marie Sanfratello, DNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 402 Town Center Rd, Matteson, IL 60443
Phone: 708-852-5179    
Chanel Smith, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 Timberlane Rd, Matteson, IL 60443
Phone: 708-654-8999    
Ms. Zenobia Clark, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3442 218th Pl, Matteson, IL 60443
Phone: 708-724-8498    

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.