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DR. WILLIE MAE JACKSON M.D.
NPI 1073754065
Psychiatry & Neurology - Psychiatry in Owensboro, KY

Active since March 20, 2009PECOS Enrolled
2211 MAYFAIR DR, SUITE 409, OWENSBORO, KY 42301(270) 417-7980(270) 417-7989 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Willie Mae Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIE MAE JACKSON M.D. (NPI 1073754065) is an individual psychiatry provider in Owensboro, Kentucky, licensed in Kentucky (46400) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1073754065
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. WILLIE MAE JACKSONCredential: M.D.
Location Address2211 MAYFAIR DR, SUITE 409Owensboro, KY 42301-4568
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 417-7980 · Fax (270) 417-7989
Phone(270) 417-7980
Fax(270) 417-7989
Sole ProprietorNo
Enumeration DateMarch 20, 2009
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1073754065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 46400
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2211 MAYFAIR DR, Owensboro, KY 42301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 W 2nd StBloomington, IN 47403-2317 · Phone (812) 353-3450 · Fax (812) 353-3451

Other Identifiers 1

Medicaid7100137210KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willie Mae Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER MCCOY
Surgery
2211 MAYFAIR DR, STE 102
OWENSBORO, KY 42301
Daviess County (270) 688-9033
WILLIAM H. ALBERT M.D.
Family Medicine
2211 MAYFAIR DR, SUITE 101
OWENSBORO, KY 42301
Daviess County (270) 688-1352
MARGARET WHITEHOUSE ARNP
Nurse Practitioner (Family)
2211 MAYFAIR DR, SUITE 101
OWENSBORO, KY 42301
Daviess County (270) 688-1352
MRS. CAROL S WINGFIELD ARNP
Nurse Practitioner (Family)
2211 MAYFAIR DR
OWENSBORO, KY 42301
Daviess County (270) 685-1260
MRS. MICHELLE L JOHNSON CSA
Specialist/Technologist, Other (Surgical Assistant)
2211 MAYFAIR DR, SUITE #410
OWENSBORO, KY 42301
Daviess County (270) 685-1605
ASSOCIATED OWENSBORO UROLOGY
Urology
2211 MAYFAIR DR, SUITE 401
OWENSBORO, KY 42301
Daviess County (270) 926-0034
ELIZABETH HAWKINS OTTMAN MD
Obstetrics & Gynecology
2211 MAYFAIR DR, STE 301
OWENSBORO, KY 42301
Daviess County (270) 688-6035
DR. RONALD ALLEN BERRY MD
Family Medicine
2211 MAYFAIR DR, SUITE 301
OWENSBORO, KY 42301
Daviess County (270) 688-4430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Jackson's NPI number?

The NPI number for Willie Jackson is 1073754065. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Willie Jackson located?

Willie Jackson practices at 2211 Mayfair Dr Suite 409, Owensboro, KY 42301. The listed phone number is (270) 417-7980.

What is Willie Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Willie Jackson enrolled in Medicare?

Yes. Willie Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Willie Jackson accept?

Health plans from CareSource list Willie Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Jackson was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.