Dr Jay A Pickett, MD is a medicare enrolled "Family Medicine" physician in Waterloo, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tauc Il Pc, Total Access Urgent Care Pc and his current practice location is
509 Hamacher St, Suite 102, Waterloo, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 939-3939.
Dr Jay A Pickett is licensed to practice in Illinois (license number 036 081291) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467425215.
Physician's Profile
| Full Name | Dr Jay A Pickett |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 40 Years |
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| Location | 509 Hamacher St, Waterloo, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jay A Pickett attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1985
NPI Data:
- NPI Number: 1467425215
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 02/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 9830145440
- Enrollment ID: I20050531000865
Medical Identifiers
Medical identifiers for Dr Jay A Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467425215 | NPI | - | NPPES |
| 036081291 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036 081291 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tauc Il Pc | 3173060282 | 17 |
| Total Access Urgent Care Pc | 8820171929 | 126 |
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. Dr Jay A Pickett allows following entities to bill medicare on his behalf.
| Entity Name | Tauc Il Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487401709
PECOS PAC ID: 3173060282
Enrollment ID: O20240807002706 |
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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. Dr Jay A Pickett 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 |
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Dr Jay A Pickett, MD
509 Hamacher St, Suite 102,
Waterloo, IL 62298-1592
Ph: (618) 939-3939 | Dr Jay A Pickett, MD
509 Hamacher St, Suite 102,
Waterloo, IL 62298-1592
Ph: (618) 939-3939 |
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