Gary Wayne Jackson, PA is a medicare enrolled "Physician Assistant" in Levelland, Texas. He graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Methodist Hospital Levelland and his current practice location is
1804 College Ave, Levelland, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 894-3141.
Gary Wayne Jackson is licensed to practice in Texas (license number PA02551) 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 1154528263.
Provider's Profile
| Full Name | Gary Wayne Jackson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 1804 College Ave, Levelland, Texas |
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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:
- Gary Wayne Jackson graduated from nursing school in 1999
NPI Data:
- NPI Number: 1154528263
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 12/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406097930
- Enrollment ID: I20170612001980
Medical Identifiers
Medical identifiers for Gary Wayne Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154528263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA02551 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Methodist Hospital Levelland | 8527041037 | 12 |
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. Gary Wayne Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Methodist Hospital Levelland |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043328222
PECOS PAC ID: 8527041037
Enrollment ID: O20040607001572 |
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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. Gary Wayne 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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Gary Wayne Jackson, PA
1805 S. College Ave,
Levelland, TX 79336
Ph: (806) 864-3141 | Gary Wayne Jackson, PA
1804 College Ave,
Levelland, TX 79336-6507
Ph: (806) 894-3141 |
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