Question 1

What type of a medical provider is Angela L Jackson?

Accepted Answer

Angela L Jackson is a Clinical Social Worker.

Question 2

Where does Angela L Jackson practice medicine?

Accepted Answer

Angela L Jackson has the following practice address:404 W GREEN ST, URBANA, IL 61801-3267

Question 3

Does this provider have a license number?

Accepted Answer

Angela L Jackson has the following license number: License Number 149013402 issued in Illinois.

Question 4

Does Angela L Jackson accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Angela L Jackson have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Angela L Jackson a member of any Medical Groups?

Accepted Answer

Angela L Jackson is not affiliated with any medical groups.

Question 7

Does Angela L Jackson participate in PECOS?

Accepted Answer

Yes, Angela L Jackson participates in PECOS.

Question 8

What phone number can I call to contact Angela L Jackson?

Accepted Answer

You can call the following number: (217)-706-5498

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Angela L Jackson.

Question 10

Is Angela L Jackson  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (3/15/2021).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20120727000039
PECOS Individual PAC ID:	4981860426
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	-
Eligible to order/refer Power Mobility Devices (PMD)	-

Angela L Jackson

Overview