| Laura Lynn Jackson, PA-C | |
|
2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 | |
| (479) 527-9966 | |
| (479) 527-9677 |
| Full Name | Laura Lynn Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 2630 E Citizens Dr Ste 3, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770817421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Northwest Arkansas Ambulatory Services, Llc | 3779827993 | 50 |
| Entity Name | Mercy Northwest Arkansas Ambulatory Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lynn Jackson, PA-C 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 | Laura Lynn Jackson, PA-C 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 |
Kristin Salmon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Charles Earl Wall Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Alexis Mikayla Clark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1438 E Augustine Ln Ste 2, Fayetteville, AR 72703 Phone: 479-335-5777 |
Madalynn Potter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Wesley Mcgehee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3352 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-443-7862 |