Jennie R Hackman, APN in Plainfield, IL - Medicare Nurse Practitioner

Jennie R Hackman, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Plainfield, Illinois. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 24600 W. 127th St, Bldg B, Ste # 340, Plainfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 731-9100.

Jennie R Hackman is licensed to practice in Illinois (license number 209.021030) 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 1740816065.

Contact Information

	Jennie R Hackman, APN
	24600 W. 127th St, Bldg B, Ste # 340, Plainfield, IL 60585-9507
	(815) 731-9100
	(815) 731-9110

Map and Direction

Provider's Profile

Full Name	Jennie R Hackman
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	24600 W. 127th St, Bldg B, Ste # 340, Plainfield, 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:

Jennie R Hackman graduated from nursing school in 2019

NPI Data:

NPI Number: 1740816065
Provider Enumeration Date: 03/18/2020
Last Update Date: 03/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6507296712
Enrollment ID: I20200430000216

Medical Identifiers

Medical identifiers for Jennie R Hackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740816065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.021030 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Jennie R Hackman allows following entities to bill medicare on her behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Jennie R Hackman 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
Jennie R Hackman, APN 24600 W. 127th St, Bldg B, Ste # 340, Plainfield, IL 60585-9507 Ph: (815) 731-9100	Jennie R Hackman, APN 24600 W. 127th St, Bldg B, Ste # 340, Plainfield, IL 60585-9507 Ph: (815) 731-9100

Reviews and Comments

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Jennie R Hackman, APN - Medicare Nurse Practitioner in Plainfield, IL