Courtney Marie Jackson, MD in Fort Wayne, IN

Courtney Marie Jackson, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Family Physicians, Inc. and her current practice location is 6507 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 486-3300.

Courtney Marie Jackson is licensed to practice in Indiana (license number 01088399A) 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 1013533926.

Contact Information

	Courtney Marie Jackson, MD
	6507 E State Blvd, Fort Wayne, IN 46815-7026
	(260) 486-3300
	(260) 485-3600

Map and Direction

Physician's Profile

Full Name	Courtney Marie Jackson
Gender	Female
Speciality	Family Practice
Experience	6 Years
Location	6507 E State Blvd, Fort Wayne, Indiana
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:

Courtney Marie Jackson graduated from medical school in 2020

NPI Data:

NPI Number: 1013533926
Provider Enumeration Date: 06/17/2020
Last Update Date: 02/02/2026

Medicare PECOS Information:

PECOS PAC ID: 7719300292
Enrollment ID: I20230804000959

Medical Identifiers

Medical identifiers for Courtney Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013533926	NPI	-	NPPES
068010931	Other	IN	MEDICARE PTAN
266430813	Other		MEDICARE PTAN
300041262	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01088399A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Family Physicians, Inc.	7911992797	429

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. Courtney Marie Jackson allows following entities to bill medicare on her behalf.

Entity Name	University Family Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Courtney Marie 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
Courtney Marie Jackson, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Courtney Marie Jackson, MD 6507 E State Blvd, Fort Wayne, IN 46815-7026 Ph: (260) 486-3300

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761

Courtney Marie Jackson, MD - Medicare Family Practice in Fort Wayne, IN