Delovely Gloria Jackson, FNP - Medicare Nurse Practitioner in Chicago Heights, IL

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Delovely Gloria Jackson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chicago Heights, Illinois. Her current practice location is 1400 Otto Blvd, Chicago Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 733-7200.

Delovely Gloria Jackson is licensed to practice in Illinois (license number 209013987) 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 1013370857.

Contact Information

Delovely Gloria Jackson, FNP
1400 Otto Blvd,
Chicago Heights, IL 60411-3741
(708) 733-7200
(708) 733-7222

Map and Direction




Provider's Profile

Full NameDelovely Gloria Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1400 Otto Blvd, Chicago Heights, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013370857
  • Provider Enumeration Date: 03/30/2016
  • Last Update Date: 05/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133418627
  • Enrollment ID: I20160524000140

Medical Identifiers

Medical identifiers for Delovely Gloria Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013370857NPI-NPPES
F400298104OtherFPN MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277001922 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209013987 (Illinois)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. Delovely Gloria Jackson allows following entities to bill medicare on her behalf.
Entity NameSpecialty Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375
Entity NameNew Southtown Medical Group S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134508997
PECOS PAC ID: 0547572349
Enrollment ID: O20150708001267
Entity NameEmerge Medstaffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780167841
PECOS PAC ID: 8123371341
Enrollment ID: O20181105001875

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. Delovely Gloria 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
Delovely Gloria Jackson, FNP
35318 Eagle Way,
Chicago, IL 60678-0353

Ph: (317) 528-4800		Delovely Gloria Jackson, FNP
1400 Otto Blvd,
Chicago Heights, IL 60411-3741

Ph: (708) 733-7200

Reviews and Comments


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Practice Location: 345 Dixie Hwy, Chicago Heights, IL 60411
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Alexis S Thomas,
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Medicare: Medicare Enrolled
Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411
Phone: 708-733-7200    Fax: 708-733-7222
Tyra Franklin,
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Practice Location: 513 Wallace St, Chicago Heights, IL 60411
Phone: 708-774-6255    

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.