Dr Jason Cole Jackson, PA-C, DC is a medicare enrolled "Physician Assistant" provider in Winchester, Tennessee. His current practice location is
1211 Dinah Shore Blvd, Winchester, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 967-6669.
Dr Jason Cole Jackson is licensed to practice in Tennessee (license number 2187) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649378464.
Healthcare Provider's Profile
Full Name | Dr Jason Cole Jackson |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1211 Dinah Shore Blvd, Winchester, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649378464
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 0345293452
- Enrollment ID: I20150427001536
Medical Identifiers
Medical identifiers for Dr Jason Cole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649378464 | NPI | - | NPPES |
4117134 | Other | TN | TN BC/BS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 0000002010 (Tennessee) | Secondary |
363A00000X | Physician Assistant | 2187 (Tennessee) | Primary |
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. Dr Jason Cole 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 |
Dr Jason Cole Jackson, PA-C, DC 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 Ph: (931) 967-6669 | Dr Jason Cole Jackson, PA-C, DC 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 Ph: (931) 967-6669 |
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