Summer Jackson, NP - Medicare Nurse Practitioner in Bellwood, IL

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Summer Jackson, NP is a medicare enrolled "Nurse Practitioner" in Bellwood, Illinois. Her current practice location is 531 Linden Ave, Bellwood, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 416-9936.

Summer Jackson is licensed to practice in Illinois (license number 209025419) 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 1790432458.

Contact Information

Summer Jackson, NP
531 Linden Ave,
Bellwood, IL 60104-1854
(773) 416-9936
Not Available

Map and Direction




Provider's Profile

Full NameSummer Jackson
GenderFemale
SpecialityNurse Practitioner
Location531 Linden Ave, Bellwood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790432458
  • Provider Enumeration Date: 03/03/2022
  • Last Update Date: 12/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850769597
  • Enrollment ID: I20221130001208

Medical Identifiers

Medical identifiers for Summer Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790432458NPI-NPPES
2000357580MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209025419 (Illinois)Primary
363L00000XNurse Practitioner 2000357580 (Illinois)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. Summer Jackson allows following entities to bill medicare on her behalf.
Entity NameSuburban Gastroenterology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114954633
PECOS PAC ID: 8628047735
Enrollment ID: O20040927000348
Entity NameIllinois Back And Joint Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750985214
PECOS PAC ID: 3072926385
Enrollment ID: O20210106000205

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. Summer 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 AddressPractice Location Address
Summer Jackson, NP
531 Linden Ave,
Bellwood, IL 60104-1854

Ph: (773) 416-9936		Summer Jackson, NP
531 Linden Ave,
Bellwood, IL 60104-1854

Ph: (773) 416-9936

Reviews and Comments


Nurse Practitioner Nurses in Bellwood, IL

Ana K Gilman, NP-C
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Phone: 708-467-7254    Fax: 815-642-5697
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Ms. Caroline F. Hetfield, ANP-BC
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Phone: 630-840-3232    Fax: 630-840-3053
Altrovise Martin, PMHNP
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Practice Location: 2400 Madison St, Bellwood, IL 60104
Phone: 708-390-7217    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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