Heather Ann Taylor Jackson, APRN, WHNP-BC in Pontiac, IL

Heather Ann Taylor Jackson, APRN, WHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Illinois. Her current practice location is 1504 W Reynolds St Ste C, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 604-9505.

Heather Ann Taylor Jackson is licensed to practice in Illinois (license number 209026979) 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 1780366419.

Contact Information

	Heather Ann Taylor Jackson, APRN, WHNP-BC
	1504 W Reynolds St Ste C, Pontiac, IL 61764-9786
	(309) 604-9505
	(309) 604-9501

Map and Direction

Provider's Profile

Full Name	Heather Ann Taylor Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1504 W Reynolds St Ste C, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780366419
Provider Enumeration Date: 08/02/2023
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5799131991
Enrollment ID: I20231024003502

Medical Identifiers

Medical identifiers for Heather Ann Taylor Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780366419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209026979 (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. Heather Ann Taylor Jackson allows following entities to bill medicare on her behalf.

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

Entity Name	Carle Bromenn Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187

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. Heather Ann Taylor 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
Heather Ann Taylor Jackson, APRN, WHNP-BC 611 W Park St, Fapc, Urbana, IL 61801 Ph: () -	Heather Ann Taylor Jackson, APRN, WHNP-BC 1504 W Reynolds St Ste C, Pontiac, IL 61764-9786 Ph: (309) 604-9505

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, IL

Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715
Cheryle Diana Strother, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152
Andrea Mclean, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764 Phone: 815-842-4501
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309
Andrew John Farraher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764 Phone: 815-844-2001

Heather Ann Taylor Jackson, APRN, WHNP-BC - Medicare Nurse Practitioner in Pontiac, IL