Eli Noah Jackson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Marshall, Arkansas. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Arkansas Health Group, Throneberry Family Clinic, P.a. and his current practice location is
942 Highway 65 N, Marshall, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(888) 518-1418.
Eli Noah Jackson is licensed to practice in Arkansas (license number PT2019-050) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316583461.
Provider's Profile
| Full Name | Eli Noah Jackson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 942 Highway 65 N, Marshall, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eli Noah Jackson graduated from nursing school in 2019
NPI Data:
- NPI Number: 1316583461
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 11/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537593835
- Enrollment ID: I20191219000784
Medical Identifiers
Medical identifiers for Eli Noah Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316583461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PT2019-050 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arkansas Health Group | 7911802079 | 645 |
| Throneberry Family Clinic, P.a. | 6507874815 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eli Noah Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Arkansas Health Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932118890
PECOS PAC ID: 7911802079
Enrollment ID: O20040726000650 |
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| Entity Name | Little Rock Neurosurgery Clinic, PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558521518
PECOS PAC ID: 5395812184
Enrollment ID: O20080919000495 |
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| Entity Name | Throneberry Family Clinic, P.A. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538296256
PECOS PAC ID: 6507874815
Enrollment ID: O20110613000587 |
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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. Eli Noah Jackson 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 |
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Eli Noah Jackson, PA-C
101 W Main St,
Hardy, AR 72542-9566
Ph: Not Available | Eli Noah Jackson, PA-C
942 Highway 65 N,
Marshall, AR 72650-7772
Ph: (888) 518-1418 |
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