Jason S Hallock, PA-C is a medicare enrolled "Physician Assistant" physician in Chattanooga, Tennessee. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
2525 Desales Avenue, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 697-0014.
Jason S Hallock is licensed to practice in Tennessee (license number PA1317) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1710922950.
Physician's Profile
| Full Name | Jason S Hallock |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 2525 Desales Avenue, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jason S Hallock graduated from medical school in 2005
NPI Data:
- NPI Number: 1710922950
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 02/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183630031
- Enrollment ID: I20250918000543
Medical Identifiers
Medical identifiers for Jason S Hallock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710922950 | NPI | - | NPPES |
| 257502672A | Medicaid | GA | |
| 3370172 | Other | TN | MEDICARE PTAN |
| 3664283 | Other | TN | MEDICARE PTAN |
| 3726561 | Other | TN | MEDICARE PTAN |
| 36642831 | Other | TN | MEDICARE PTAN |
| 4116090 | Other | TN | BCBS OF TENNESSEE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | PA1317 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA1317 (Tennessee) | Primary |
Medical Facilities Affiliation
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 S Hallock 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 Address | Practice Location Address |
|---|
Jason S Hallock, PA-C
725 Glenwood Drive,, Suite E-487,
Chattanooga, TN 37404
Ph: (423) 697-0014 | Jason S Hallock, PA-C
2525 Desales Avenue,
Chattanooga, TN 37404
Ph: (423) 697-0014 |
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