Dr Robyn A Jackson, MD is a medicare enrolled "Family Medicine" physician in Matteson, Illinois. Her current practice location is
600 Holiday Dr, Suite 525, Matteson, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 898-2613.
Dr Robyn A Jackson is licensed to practice in Illinois (license number 036095867) 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 1346282449.
Physician's Profile
| Full Name | Dr Robyn A Jackson |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 600 Holiday Dr, Matteson, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346282449
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 04/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931167301
- Enrollment ID: I20050103000029
Medical Identifiers
Medical identifiers for Dr Robyn A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346282449 | NPI | - | NPPES |
| 036095867 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 036095867 (Illinois) | Primary |
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 Robyn A 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 |
Dr Robyn A Jackson, MD 600 Holiday Dr, Suite 525, Matteson, IL 60443-2241 Ph: (708) 898-2613 | Dr Robyn A Jackson, MD 600 Holiday Dr, Suite 525, Matteson, IL 60443-2241 Ph: (708) 898-2613 |
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