Jason Packer, PA-C, DC is a medicare enrolled "Physician Assistant - Surgical" provider in Roseville, California. His current practice location is
151 N Sunrise Ave, Suite 1005, Roseville, California. You can reach out to his office (for appointments etc.) via phone at
(916) 782-1217.
Jason Packer is licensed to practice in California (license number 23146) 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 1538261425.
Healthcare Provider's Profile
Full Name | Jason Packer |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538261425
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 03/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 2769404086
- Enrollment ID: I20140602000845
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
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 |
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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