Mr Jackson Alexander Harbin, PA-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Jesup, Georgia. His current practice location is
865 S 1st St, Jesup, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 530-3395.
Mr Jackson Alexander Harbin is licensed to practice in Georgia (license number 12355) 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 1164263919.
Physician's Profile
| Full Name | Mr Jackson Alexander Harbin |
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| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 865 S 1st St, Jesup, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164263919
- Provider Enumeration Date: 06/05/2024
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799218780
- Enrollment ID: I20241029004227
Medical Identifiers
Medical identifiers for Mr Jackson Alexander Harbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164263919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 12355 (Georgia) | Primary |
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 Jackson Alexander Harbin 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 |
Mr Jackson Alexander Harbin, PA-C 205 Sonata Cir, Pooler, GA 31322-4939 Ph: (407) 730-1299 | Mr Jackson Alexander Harbin, PA-C 865 S 1st St, Jesup, GA 31545-0210 Ph: (912) 530-3395 |
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