Jacklyn M Gideon, in Chicago, IL - Medicare Nurse Practitioner

Jacklyn M Gideon, is a medicare enrolled "Nurse Practitioner - Adult Health" in Chicago, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The University Of Chicago Medical Center and her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 824-0200.

Jacklyn M Gideon is licensed to practice in Illinois (license number 209015488) 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 1629515572.

Contact Information

	Jacklyn M Gideon,
	5841 S Maryland Ave, Chicago, IL 60637-1443
	(888) 824-0200
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacklyn M Gideon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	5841 S Maryland Ave, Chicago, Illinois
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:

Jacklyn M Gideon attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2016

NPI Data:

NPI Number: 1629515572
Provider Enumeration Date: 01/30/2017
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 4284903675
Enrollment ID: I20170628000696

Medical Identifiers

Medical identifiers for Jacklyn M Gideon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629515572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209015488 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The University Of Chicago Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The University Of Chicago Medical Center	7618880766	779

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. Jacklyn M Gideon allows following entities to bill medicare on her behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203

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. Jacklyn M Gideon 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
Jacklyn M Gideon, 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 Ph: () -	Jacklyn M Gideon, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200

Reviews and Comments

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Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780

Jacklyn M Gideon, - Medicare Nurse Practitioner in Chicago, IL