| Ms Susan Elaine Jackson, RPA-C | |
|
12 Leach Rd, Lyons, NY 14489-9732 | |
| (315) 946-6075 | |
| Not Available |
| Full Name | Ms Susan Elaine Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 12 Leach Rd, Lyons, New York |
| 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 |
|---|---|---|---|
| 1649557208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 015280 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newark-wayne Community Hospital | Newark, NY | Hospital |
| Rochester General Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rochester General Hospital | 0244149474 | 1192 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | The Unity Hospital of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Entity Name | Western New York Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| 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 |
Sara Wick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Leach Rd, Lyons, NY 14489 Phone: 315-946-6075 |