Jason Michael Dillashaw, PA - C is a medicare enrolled "Physician Assistant" physician in Fort Sam Houston, Texas. His current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 916-4141.
Jason Michael Dillashaw is licensed to practice in * (Not Available) (license number ) 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 1093156705.
Physician's Profile
| Full Name | Jason Michael Dillashaw |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093156705
- Provider Enumeration Date: 07/10/2013
- Last Update Date: 12/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971903675
- Enrollment ID: I20230517003237
Medical Identifiers
Medical identifiers for Jason Michael Dillashaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093156705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | PA12246 (Texas) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 Michael Dillashaw 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 |
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Jason Michael Dillashaw, PA - C
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 916-4141 | Jason Michael Dillashaw, PA - C
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 916-4141 |
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