Mr Justin Matthew Jefferson, - Medicare Nurse Practitioner in Urbana, IL

Mr Justin Matthew Jefferson, is a medicare enrolled "Nurse Practitioner - Family" in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 326-4325.

Mr Justin Matthew Jefferson is licensed to practice in Illinois (license number 209025128) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073238440.

Contact Information

Mr Justin Matthew Jefferson,
611 W Park St,
Urbana, IL 61801-2529
(217) 326-4325
Not Available



Provider's Profile

Full NameMr Justin Matthew Jefferson
GenderMale
SpecialityNurse Practitioner - Family
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073238440
  • Provider Enumeration Date: 10/07/2022
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830562438
  • Enrollment ID: I20230301002543

Medical Identifiers

Medical identifiers for Mr Justin Matthew Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073238440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209.025128 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209025128 (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. Mr Justin Matthew Jefferson allows following entities to bill medicare on his behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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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. Mr Justin Matthew Jefferson 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
Mr Justin Matthew Jefferson,
611 W. Park St., Fapc,
Urbana, IL 61801

Ph: () -
Mr Justin Matthew Jefferson,
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 326-4325

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Nurse Practitioner Nurses in Urbana, IL

Lindy Drollinger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 N. Lincoln Ave., Neurosurgery, Urbana, IL 61801
Phone: 217-383-3507    Fax: 217-383-3171
Emily Remington, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3140    Fax: 217-383-4966
Kendall E Wallace, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Jiaqiu Sinha, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 509 W University Ave, Urbana, IL 61801
Phone: 217-383-6645    
Mrs. Doris M Lawyer, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801
Phone: 217-333-2711    
Peter Kale, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E. Windsor Road, Adult Medicine/geriatrics, Urbana, IL 61802
Phone: 217-255-9672    Fax: 217-383-4681
Kelly Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1818 E. Windsor Road, Urbana, IL 61802
Phone: 217-255-9670    Fax: 217-255-9724

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