Ms Jennifer Ann Jackson, RPAC is a medicare enrolled "Physician Assistant - Surgical" in Cornwall, New York. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice New York Vascular Group Pllc and her current practice location is
19 Laurel Ave Ste 102, Cornwall, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 822-8100.
Ms Jennifer Ann Jackson is licensed to practice in New York (license number 006236) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841482031.
Provider's Profile
| Full Name | Ms Jennifer Ann Jackson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 19 Laurel Ave Ste 102, Cornwall, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Jennifer Ann Jackson graduated from nursing school in 1997
NPI Data:
- NPI Number: 1841482031
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224446554
- Enrollment ID: I20210426001531
Medical Identifiers
Medical identifiers for Ms Jennifer Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841482031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | 006236 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New York Vascular Group Pllc | 5193130888 | 2 |
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. Ms Jennifer Ann 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 |
|---|
Ms Jennifer Ann Jackson, RPAC
19 Laurel Ave Ste 102,
Cornwall, NY 12518-1403
Ph: (845) 822-8100 | Ms Jennifer Ann Jackson, RPAC
19 Laurel Ave Ste 102,
Cornwall, NY 12518-1403
Ph: (845) 822-8100 |
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