Jack Eisaman, PA-C - Medicare Physician Assistant in Stanwood, WA

  1. Home
  2. Physician Assistant
  3. WA
  4. Stanwood
Jack Eisaman, PA-C is a medicare enrolled "Physician Assistant - Medical" in Stanwood, Washington. His current practice location is 9631 269th St Nw, Stanwood, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 629-1600.

Jack Eisaman is licensed to practice in Washington (license number PA60686334) 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 1356794432.

Contact Information

Jack Eisaman, PA-C
9631 269th St Nw,
Stanwood, WA 98292-8071
(360) 629-1600
(360) 629-1644

Map and Direction




Provider's Profile

Full NameJack Eisaman
GenderMale
SpecialityPhysician Assistant - Medical
Location9631 269th St Nw, Stanwood, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356794432
  • Provider Enumeration Date: 07/13/2016
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375823156
  • Enrollment ID: I20161213002771

Medical Identifiers

Medical identifiers for Jack Eisaman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356794432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60686334 (Washington)Secondary
363AM0700XPhysician Assistant - Medical PA60686334 (Washington)Primary

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. Jack Eisaman allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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. Jack Eisaman 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 AddressPractice Location Address
Jack Eisaman, PA-C
1400 E Kincaid St, Attn: Credentialing,
Mount Vernon, WA 98274-4127

Ph: (360) 428-2500		Jack Eisaman, PA-C
9631 269th St Nw,
Stanwood, WA 98292-8071

Ph: (360) 629-1600

Reviews and Comments


Physician Assistant Nurses in Stanwood, WA

Dallin E Forrest, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9631 269th St Nw, Stanwood, WA 98292
Phone: 360-629-1600    Fax: 360-629-1644
Ms. Heather Nicole Gutierrez, PA-S
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 360-629-1501    
Mrs. Katrina Louise Bowen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 360-629-1504    Fax: 360-629-1513
Sonja Brandstrom, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10101 270th St Nw, Stanwood, WA 98292
Phone: 360-926-8316    
Margaret B Heller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9631 269th St Nw, Stanwood, WA 98292
Phone: 360-629-1600    
Zackary Kane Hanson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9631 269th St Nw, Stanwood, WA 98292
Phone: 360-629-1600    Fax: 360-629-1644
Elizabeth Dominguez, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7205 265th St Nw, Stanwood, WA 98292
Phone: 360-629-1500    Fax: 360-629-1513

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.