Heather Lee Jackson, CNM, MSN is a medicare enrolled "Advanced Practice Midwife" in Portage, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Chesterton Physical Therapy Inc and her current practice location is
6050 Sterling Creek Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 763-8112.
Heather Lee Jackson is licensed to practice in Indiana (license number 71010201A) 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 1669090049.
Provider's Profile
| Full Name | Heather Lee Jackson |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 6 Years |
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| Location | 6050 Sterling Creek Rd, Portage, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Heather Lee Jackson graduated from nursing school in 2020
NPI Data:
- NPI Number: 1669090049
- Provider Enumeration Date: 07/11/2020
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173933934
- Enrollment ID: I20201105001481
Medical Identifiers
Medical identifiers for Heather Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669090049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 71010201A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chesterton Physical Therapy Inc | 3173683984 | 194 |
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. Heather Lee Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Northshore Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114257300
PECOS PAC ID: 5799671236
Enrollment ID: O20040827000220 |
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| Entity Name | Healthlinc Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528262581
PECOS PAC ID: 7618929373
Enrollment ID: O20050210000929 |
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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. Heather Lee 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 |
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Heather Lee Jackson, CNM, MSN
6050 Sterling Creek Rd,
Portage, IN 46368-7752
Ph: (219) 763-8112 | Heather Lee Jackson, CNM, MSN
6050 Sterling Creek Rd,
Portage, IN 46368-7752
Ph: (219) 763-8112 |
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