Cheryl Anne Jackson, NP is a
Physician Assistant based in Huntington Mills, Pennsylvania. Cheryl Anne Jackson is licensed to practice in Pennsylvania (license number VP005790B) and her current practice location is
401 Shickshinney Lake Road, Huntington Mills, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 864-3191.
NPI number for Cheryl Anne Jackson is 1831165166 and her current mailing address is 16 Highland Ct, Dallas, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831165166.
Provider's Profile
| Full Name | Cheryl Anne Jackson |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
|---|
| Location | 401 Shickshinney Lake Road, Huntington Mills, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831165166
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 11/05/2009
Medical Identifiers
Medical identifiers for Cheryl Anne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831165166 | NPI | - | NPPES |
| 50072326 | Other | PA | KEYSTONE CBC |
| 1019794280001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | VP005790B (Pennsylvania) | 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. Cheryl Anne Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cheryl Anne Jackson, NP
16 Highland Ct,
Dallas, PA 18612-1237
Ph: (570) 674-2268 | Cheryl Anne Jackson, NP
401 Shickshinney Lake Road,
Huntington Mills, PA 18622-0046
Ph: (570) 864-3191 |
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