Trichelle Mae Jackson, OD is a medicare enrolled "Optometrist" provider in Forest City, Iowa. She went to Illinois College Of Optometry At Chicago and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Donald W Furman Pc and her current practice location is
139 E K St, Forest City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 585-3590.
Trichelle Mae Jackson is licensed to practice in Iowa (license number 002543) 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 1720347644.
Healthcare Provider's Profile
Full Name | Trichelle Mae Jackson |
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Gender | Female |
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Speciality | Optometry |
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Experience | 12 Years |
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Location | 139 E K St, Forest City, Iowa |
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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:
- Trichelle Mae Jackson attended and graduated from Illinois College Of Optometry At Chicago in 2012
NPI Data:
- NPI Number: 1720347644
- Provider Enumeration Date: 05/12/2012
- Last Update Date: 02/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 6800042078
- Enrollment ID: I20120804000098
Medical Identifiers
Medical identifiers for Trichelle Mae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720347644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 002543 (Iowa) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Donald W Furman Pc | 5799778197 | 3 |
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. Trichelle Mae Jackson allows following entities to bill medicare on her behalf.
Provider Name | Donald W Furman Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1700907839 PECOS PAC ID: 5799778197 Enrollment ID: O20040402001448 |
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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. Trichelle Mae 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 |
Trichelle Mae Jackson, OD Po Box 410, Forest City, IA 50436-0410 Ph: (641) 585-3590 | Trichelle Mae Jackson, OD 139 E K St, Forest City, IA 50436-1501 Ph: (641) 585-3590 |
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