Dr Evan Leigh Jackson, DO - Medicare Emergency Medicine in Chicago, IL

Dr Evan Leigh Jackson, DO is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. She went to Touro Un College Of Osteopathic Medicine, Vallejo and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cepamerica Illinois Llp and her current practice location is 1740 W Taylor St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (866) 600-2273.

Dr Evan Leigh Jackson is licensed to practice in Illinois (license number 036155621) 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 1013412634.

Contact Information

Dr Evan Leigh Jackson, DO
1740 W Taylor St,
Chicago, IL 60612-7232
(866) 600-2273
Not Available



Physician's Profile

Full NameDr Evan Leigh Jackson
GenderFemale
SpecialityEmergency Medicine
Experience6 Years
Location1740 W Taylor St, Chicago, Illinois
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:
  • Dr Evan Leigh Jackson attended and graduated from Touro Un College Of Osteopathic Medicine, Vallejo in 2018
  NPI Data:
  • NPI Number: 1013412634
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 05/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416205430
  • Enrollment ID: I20211025000142

Medical Identifiers

Medical identifiers for Dr Evan Leigh Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013412634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.073354 (Illinois)Secondary
207P00000XEmergency Medicine 02006363A (Indiana)Secondary
207P00000XEmergency Medicine 036155621 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gottlieb Memorial HospitalMelrose park, ILHospital
Holy Cross HospitalChicago, ILHospital
Mt Sinai Hospital Medical CenterChicago, ILHospital
University Of Illinois HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633407

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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. Dr Evan Leigh Jackson allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587

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Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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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. Dr Evan Leigh 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
Dr Evan Leigh Jackson, DO
808 South Wood Street, 469 Cme, M/c 724,
Chicago, IL 60612

Ph: (312) 413-7492
Dr Evan Leigh Jackson, DO
1740 W Taylor St,
Chicago, IL 60612-7232

Ph: (866) 600-2273

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Emergency Medicine Doctors in Chicago, IL

Jacqueline Alexandria Khorasanee, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611
Phone: 312-503-4756    
Dr. Robert R Turelli Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-296-5878    Fax: 773-296-7818
Dr. Kristen Grabow Moore, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611
Phone: 312-694-7000    
Tomasz Piotr Lis, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Dr. Gillian E Munitz, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654
Phone: 312-404-0200    
Michael Anthony Hoks Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631
Phone: 773-792-7321    
Dr. Ro Gonsalves, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2320 E 93rd St, Chicago, IL 60617
Phone: 773-967-2000    

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