Elizabeth Detweiler Jackson, APRN in Norwich, CT

Elizabeth Detweiler Jackson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Norwich, Connecticut. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Inc and her current practice location is 42 Town St Ste 300, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 886-0567.

Elizabeth Detweiler Jackson is licensed to practice in Connecticut (license number 009070) 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 1902420466.

Contact Information

	Elizabeth Detweiler Jackson, APRN
	42 Town St Ste 300, Norwich, CT 06360-2339
	(860) 886-0567
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Detweiler Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	42 Town St Ste 300, Norwich, Connecticut
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:

Elizabeth Detweiler Jackson graduated from nursing school in 2015

NPI Data:

NPI Number: 1902420466
Provider Enumeration Date: 06/01/2020
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6709204993
Enrollment ID: I20200921002228

Medical Identifiers

Medical identifiers for Elizabeth Detweiler Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902420466	NPI	-	NPPES
009070	Other	CT	CT LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	132311 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	009070 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
William W Backus Hospital	Norwich, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Inc	1153573902	220

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. Elizabeth Detweiler Jackson allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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. Elizabeth Detweiler 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 Address	Practice Location Address
Elizabeth Detweiler Jackson, APRN 110 Cooktown Rd, Preston, CT 06365-8801 Ph: (860) 917-3523	Elizabeth Detweiler Jackson, APRN 42 Town St Ste 300, Norwich, CT 06360-2339 Ph: (860) 886-0567

Reviews and Comments

Nurse Practitioner Nurses in Norwich, CT

Mafe Duyan Rato, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 W West Main St, St 140, Norwich, CT 06360 Phone: 860-200-8098
Meagan Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 W Main St, Norwich, CT 06360 Phone: 860-887-5970
Mrs. Polina Verbitsky-havasov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 Fax: 860-886-0656
John Kemp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Cliff St, Norwich, CT 06360 Phone: 860-887-6536 Fax: 860-823-3856
Sarah Jean Robertson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Main St, Norwich, CT 06360 Phone: 860-889-1400
Jessica Banning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Lathrop Ave, Norwich, CT 06360 Phone: 860-204-0883
Olubunmi Olugbile, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331

Elizabeth Detweiler Jackson, APRN - Medicare Nurse Practitioner in Norwich, CT