Lori R Jackson, MD in Champaign, IL - Medicare Family Practice

Lori R Jackson, MD is a medicare enrolled "Family Medicine" physician in Champaign, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carle Health Care Incorporated and her current practice location is 1701 Curtis Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 365-6201.

Lori R Jackson is licensed to practice in Illinois (license number 036119598) 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 1154533271.

Contact Information

	Lori R Jackson, MD
	1701 Curtis Rd, Champaign, IL 61822-9678
	(217) 365-6201
	(217) 326-4003

Map and Direction

Physician's Profile

Full Name	Lori R Jackson
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	1701 Curtis Rd, Champaign, Illinois
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:

Lori R Jackson attended and graduated from Southern Illinois University School Of Medicine in 2005

NPI Data:

NPI Number: 1154533271
Provider Enumeration Date: 05/03/2007
Last Update Date: 12/21/2017

Medicare PECOS Information:

PECOS PAC ID: 2860555257
Enrollment ID: I20090112000350

Medical Identifiers

Medical identifiers for Lori R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154533271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036119598 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Carle Foundation Hospital	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	808

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. Lori R Jackson allows following entities to bill medicare on her behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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. Lori R 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
Lori R Jackson, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6941	Lori R Jackson, MD 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-6201

Reviews and Comments

Family Medicine Doctors in Champaign, IL

Elizabeth A Ackerson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203
Dr. Robert K. Kuramoto, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1243
Dr. Corinne E Kohler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558
Dr. Irshad Ahmed Siddiqui, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130
Dr. Kyle Alan Cassidy-wescott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6203
John R Sellett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 W Curtis Road, Family Medicine/convenient Care, Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-1234
Steve Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6201 Fax: 217-326-4003

Lori R Jackson, MD - Medicare Family Practice in Champaign, IL