Ms Susan Elaine Jackson, RPA-C is a medicare enrolled "Physician Assistant - Medical" in Lyons, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rochester General Hospital and her current practice location is
12 Leach Rd, Lyons, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 946-6075.
Ms Susan Elaine Jackson is licensed to practice in New York (license number 015280) 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 1649557208.
Provider's Profile
| Full Name | Ms Susan Elaine Jackson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 12 Leach Rd, Lyons, 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 Susan Elaine Jackson graduated from nursing school in 2011
NPI Data:
- NPI Number: 1649557208
- Provider Enumeration Date: 11/10/2011
- Last Update Date: 11/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 5294900965
- Enrollment ID: I20111207000648
Medical Identifiers
Medical identifiers for Ms Susan Elaine Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649557208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 015280 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rochester General Hospital | 0244149474 | 891 |
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 Susan Elaine 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 Susan Elaine Jackson, RPA-C
12 Leach Rd,
Lyons, NY 14489-9732
Ph: (315) 946-6075 | Ms Susan Elaine Jackson, RPA-C
12 Leach Rd,
Lyons, NY 14489-9732
Ph: (315) 946-6075 |
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