Eileen Jackson, NP - Medicare Nurse Practitioner in Commack, NY

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Eileen Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Commack, New York. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Radiation Oncology Group and her current practice location is 650 Commack Rd, Commack, New York. You can reach out to her office (for appointments etc.) via phone at (631) 623-4000.

Eileen Jackson is licensed to practice in New York (license number 341567) 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 1124555271.

Contact Information

Eileen Jackson, NP
650 Commack Rd,
Commack, NY 11725-5404
(631) 623-4000
Not Available

Map and Direction




Provider's Profile

Full NameEileen Jackson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location650 Commack Rd, Commack, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eileen Jackson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1124555271
  • Provider Enumeration Date: 05/20/2017
  • Last Update Date: 05/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2567738891
  • Enrollment ID: I20171031003020

Medical Identifiers

Medical identifiers for Eileen Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124555271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 341567 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital For Cancer And Allied DiseasesNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Radiation Oncology Group852795709192

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. Eileen Jackson allows following entities to bill medicare on her behalf.
Entity NameMemorial Radiation Oncology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235109224
PECOS PAC ID: 8527957091
Enrollment ID: O20040312000532
Entity NameMskcc Regional Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740251297
PECOS PAC ID: 6608765144
Enrollment ID: O20040312000936
Entity NameMemorial Solid Tumor Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699746172
PECOS PAC ID: 4082503354
Enrollment ID: O20040313000668

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. Eileen 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
Eileen Jackson, NP
255 Mckinley Ter,
Centerport, NY 11721-1311

Ph: (631) 327-7026		Eileen Jackson, NP
650 Commack Rd,
Commack, NY 11725-5404

Ph: (631) 623-4000

Reviews and Comments


Nurse Practitioner Nurses in Commack, NY

Sandra M Roth, ANP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 52 Radburn Dr, Commack, NY 11725
Phone: 631-864-5175    
Cindy Demetriou,
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Medicare: May Accept Medicare Assignments
Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725
Phone: 631-858-0400    
Kelly Eileen Mcgowan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2171 Jericho Tpke, Commack, NY 11725
Phone: 631-858-2190    
Mrs. Keri Jean Wagner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 631-623-4000    Fax: 631-864-2787
Mrs. Ann Marie Perrino, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2000    
Ms. Kathleen Bradley Kupferman, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 68 Hauppauge Rd, Commack, NY 11725
Phone: 631-715-2503    
Mrs. Lauren Dolce, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725
Phone: 631-462-2200    

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.