| Mr Jackson Watson, | |
|
19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | |
| (425) 563-1500 | |
| (425) 563-1374 |
| Full Name | Mr Jackson Watson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| 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 |
|---|---|---|---|
| 1124696653 | NPI | - | NPPES |
| 2254430 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA61438621 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Medical Center | Kirkland, WA | Hospital |
| Swedish Edmonds Hospital | Edmonds, WA | Hospital |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radia Inc P S | 9931012812 | 254 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jackson Watson, 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Mr Jackson Watson, 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Malaina Lynn Thacker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2915 184th St Sw, Lynnwood, WA 98037 Phone: 844-234-7741 | |
Alexandra Grace Breuhaus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1374 | |
Erika Hase, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4111 194th St Sw, Lynnwood, WA 98036 Phone: 425-835-5200 | |
Jennifer Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4111 194th St Sw, Lynnwood, WA 98036 Phone: 425-835-5200 | |
Lindsay Moran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4111 194th St Sw, Lynnwood, WA 98036 Phone: 425-835-5200 | |
Ms. Lynda Jo Storm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1374 |