Courtney Marie Jackson, MD - Medicare Family Medicine in Indianapolis, IN

Courtney Marie Jackson, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. Her current practice location is 6820 Parkdale Pl Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 297-7773.

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

Contact Information

Courtney Marie Jackson, MD
6820 Parkdale Pl Ste 100,
Indianapolis, IN 46254-4699
(317) 297-7773
(317) 968-1192

Map and Direction




Physician's Profile

Full NameCourtney Marie Jackson
GenderFemale
SpecialityFamily Medicine
Location6820 Parkdale Pl Ste 100, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013533926
  • Provider Enumeration Date: 06/17/2020
  • Last Update Date: 01/04/2024
  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.
IdentifierTypeStateIssuer
1013533926NPI-NPPES
068010931OtherINMEDICARE PTAN
266430813OtherMEDICARE PTAN
300041262MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11021251A (Indiana)Secondary
207Q00000XFamily Medicine 01088399A (Indiana)Primary

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 NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Courtney Marie Jackson, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Courtney Marie Jackson, MD
6820 Parkdale Pl Ste 100,
Indianapolis, IN 46254-4699

Ph: (317) 297-7773

Reviews and Comments


Family Medicine Doctors in Indianapolis, IN

Leigha Marie Murphy, NP
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Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256
Phone: 317-735-6001    Fax: 855-450-1177
Donald H Lauer, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227
Phone: 317-881-9797    Fax: 317-881-4156
Robert Kiess Newton, MD
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Practice Location: 9560 E 59th St, Indianapolis, IN 46216
Phone: 317-621-1700    Fax: 317-621-1711
Dr. Bernard M Herbst, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5839 E Washington St, Indianapolis, IN 46219
Phone: 317-353-9777    Fax: 317-357-6922
Teresa Trierweiler, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254
Phone: 317-293-4113    Fax: 317-290-2542
Dr. Phumeza Msikinya, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227
Phone: 317-497-1900    
Ruben Hernan Hernandez Mondragon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202
Phone: 317-962-8893    Fax: 317-962-2990

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.