Jacqueline D Keck, - Medicare Nurse Practitioner in Dixon, IL

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Jacqueline D Keck, is a medicare enrolled "Nurse Practitioner - Family" in Dixon, Illinois. Her current practice location is 841 N Galena Ave, Suite 200, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 285-2273.

Jacqueline D Keck is licensed to practice in Illinois (license number 209-013552) 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 1326411539.

Contact Information

Jacqueline D Keck,
841 N Galena Ave, Suite 200,
Dixon, IL 61021-1568
(815) 285-2273
(815) 285-2276

Map and Direction




Provider's Profile

Full NameJacqueline D Keck
GenderFemale
SpecialityNurse Practitioner - Family
Location841 N Galena Ave, Dixon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326411539
  • Provider Enumeration Date: 11/10/2015
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042513426
  • Enrollment ID: I20160119000760

Medical Identifiers

Medical identifiers for Jacqueline D Keck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326411539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209013552 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209-013552 (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. Jacqueline D Keck allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameCentral Dupage Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601
Entity NameValley Emergency Care Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841395092
PECOS PAC ID: 1850387713
Enrollment ID: O20040424000146
Entity NameKishwaukee Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932480605
PECOS PAC ID: 3870768054
Enrollment ID: O20111216000435
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587

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. Jacqueline D Keck 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
Jacqueline D Keck,
841 N Galena Ave, Suite 200,
Dixon, IL 61021-1568

Ph: (815) 285-2273		Jacqueline D Keck,
841 N Galena Ave, Suite 200,
Dixon, IL 61021-1568

Ph: (815) 285-2273

Reviews and Comments


Nurse Practitioner Nurses in Dixon, IL

Christina Iyer, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 629 N Galena Ave, Dixon, IL 61021
Phone: 815-288-1235    Fax: 815-288-0034
Ms. Janet I. Malmberg, APN, RNC, WHNP.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 309 South Galena Ave, Suite 100, Dixon, IL 61021
Phone: 815-284-3371    Fax: 815-288-1811
Valarie Pfoutz, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-288-5531    
Audra Danielle Washo, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-284-5710    Fax: 815-285-5893
Kathryn Lewis, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 Lincoln Statue Dr, Dixon, IL 61021
Phone: 815-677-0674    Fax: 815-425-9369
Kristina Kay Mershon,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 N Brinton Ave, Dixon, IL 61021
Phone: 815-288-5561    
Jill C Obrien, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 102 S Hennepin Ave, Dixon, IL 61021
Phone: 815-285-8520    Fax: 815-285-8903

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.