Jason Preston Tackett, NP-C - Medicare Nurse Practitioner in Michigan City, IN

  1. Home
  2. Nurse Practitioner
  3. IN
  4. Michigan City
Jason Preston Tackett, NP-C is a medicare enrolled "Nurse Practitioner" in Michigan City, Indiana. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Franciscan Physician Network and his current practice location is 3500 Franciscan Way, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 879-8511.

Jason Preston Tackett is licensed to practice in Indiana (license number 71003469A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821304296.

Contact Information

Jason Preston Tackett, NP-C
3500 Franciscan Way,
Michigan City, IN 46360-0021
(219) 879-8511
Not Available

Map and Direction




Provider's Profile

Full NameJason Preston Tackett
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location3500 Franciscan Way, Michigan City, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Preston Tackett graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1821304296
  • Provider Enumeration Date: 08/24/2010
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638350028
  • Enrollment ID: I20110217000541

Medical Identifiers

Medical identifiers for Jason Preston Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821304296NPI-NPPES
201012930MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28164172A (Indiana)Secondary
163W00000XRegistered Nurse 041188540 (Illinois)Secondary
363L00000XNurse Practitioner 209012575 (Illinois)Secondary
363L00000XNurse Practitioner 71003469A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan St Anthony Health - Michigan CityMichigan city, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Physician Network3072790682989

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. Jason Preston Tackett allows following entities to bill medicare on his behalf.
Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486
Entity NameLayous Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598144040
PECOS PAC ID: 0143537308
Enrollment ID: O20150921001460

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. Jason Preston Tackett 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
Jason Preston Tackett, NP-C
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800		Jason Preston Tackett, NP-C
3500 Franciscan Way,
Michigan City, IN 46360-0021

Ph: (219) 879-8511

Reviews and Comments


Nurse Practitioner Nurses in Michigan City, IN

Carol Lynn Parks,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360
Phone: 219-879-6531    
Jason C Little, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Franciscan Way, Michigan City, IN 46360
Phone: 219-879-8511    Fax: 219-877-2000
Donald Ernest Greer Jr.,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Franciscan Way, Michigan City, IN 46360
Phone: 219-879-8511    
Kaci Bauske,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8733 W 400 N, Michigan City, IN 46360
Phone: 219-831-8740    Fax: 219-877-1029
Nichole M Shultz, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4111 Franklin St, Michigan City, IN 46360
Phone: 121-987-3291    Fax: 219-873-2909
Todd Noel Wolford, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360
Phone: 219-809-9839    Fax: 219-809-9841
Kristen R Novak, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360
Phone: 219-872-6566    

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.