| Jason D Mccandless, PA | |
|
910 James Bowie Dr, New Boston, TX 75570-2335 | |
| (903) 614-5950 | |
| (903) 614-5955 |
| Full Name | Jason D Mccandless |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 910 James Bowie Dr, New Boston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487952834 | NPI | - | NPPES |
| 284586901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-430 (Arkansas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA07396 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Magnolia Regional Medical Center | Magnolia, AR | Hospital |
| Southwest Arkansas Regional Medical Center Llc | Hope, AR | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Texas Physician Services, Pllc | 6305295429 | 236 |
| Entity Name | Texarkana Gastroenterology Consultants, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477519056 PECOS PAC ID: 0345212817 Enrollment ID: O20040806000580 |
| Entity Name | Texarkana Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871813345 PECOS PAC ID: 4486778669 Enrollment ID: O20100824001147 |
| Entity Name | North Texas Physician Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason D Mccandless, PA 919 Hidden Rdg, 6th Floor, Irving, TX 75038-3813 Ph: (469) 282-2625 | Jason D Mccandless, PA 910 James Bowie Dr, New Boston, TX 75570-2335 Ph: (903) 614-5950 |