Naomi Namrota Jackson, PA-C is a medicare enrolled "Physician Assistant" physician in Wilmington, North Carolina. Her current practice location is
2909 Market St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 795-2118.
Naomi Namrota Jackson is licensed to practice in North Carolina (license number 0010-12831) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730899352.
Physician's Profile
Full Name | Naomi Namrota Jackson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2909 Market St, Wilmington, North Carolina |
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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: 1730899352
- Provider Enumeration Date: 12/05/2022
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709256043
- Enrollment ID: I20230103002194
Medical Identifiers
Medical identifiers for Naomi Namrota Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730899352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 0010-12831 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-12831 (North Carolina) | 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. Naomi Namrota 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 |
Naomi Namrota Jackson, PA-C 1630 Barclay Pointe Blvd Apt 9201, Wilmington, NC 28412-1107 Ph: (731) 535-1629 | Naomi Namrota Jackson, PA-C 2909 Market St, Wilmington, NC 28403-1221 Ph: (910) 795-2118 |
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