Heather Lee Jackson, CNM, MSN is a medicare enrolled "Advanced Practice Midwife" in Hobart, Indiana. Her current practice location is
1100 Lakeview Dr, Hobart, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 730-7091.
Heather Lee Jackson is licensed to practice in Indiana (license number 71010201A) 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 1669090049.
Provider's Profile
Full Name | Heather Lee Jackson |
---|
Gender | Female |
---|
Speciality | Advanced Practice Midwife |
---|
Location | 1100 Lakeview Dr, Hobart, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669090049
- Provider Enumeration Date: 07/11/2020
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173933934
- Enrollment ID: I20201105001481
Medical Identifiers
Medical identifiers for Heather Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669090049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 71010201A (Indiana) | Primary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
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 Lee Jackson allows following entities to bill medicare on her behalf.
Entity Name | Healthlinc Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
---|
Entity Name | Franciscan Physician Network |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
---|
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 Lee 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 Lee Jackson, CNM, MSN 1100 Lakeview Dr, Hobart, IN 46342-5000 Ph: (219) 730-7091 | Heather Lee Jackson, CNM, MSN 1100 Lakeview Dr, Hobart, IN 46342-5000 Ph: (219) 730-7091 |
Reviews and Comments