Jason Packer, PA-C, DC is a
Physician Assistant - Surgical based in Roseville, California. Jason Packer is licensed to practice in California (license number 23146) and his current practice location is
151 N Sunrise Ave, Suite 1005, Roseville, California. He can be reached at his office (for appointments etc.) via phone at
(916) 782-1217.
NPI number for Jason Packer is 1538261425 and his current mailing address is 151 N Sunrise Ave, Suite 1005, Roseville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538261425.
Healthcare Provider's Profile
| Full Name | Jason Packer |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 151 N Sunrise Ave, Roseville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538261425
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 03/05/2014
Medical Identifiers
Medical identifiers for Jason Packer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538261425 | NPI | - | NPPES |
| DC0290820 | Other | CA | BLUE SHIELD IDENTIF. NUMB |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC29082 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 23146 (California) | 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. Jason Packer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jason Packer, PA-C, DC
151 N Sunrise Ave, Suite 1005,
Roseville, CA 95661-2924
Ph: (916) 782-1217 | Jason Packer, PA-C, DC
151 N Sunrise Ave, Suite 1005,
Roseville, CA 95661-2924
Ph: (916) 782-1217 |
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