Skyler Lee Jackson, PA-C is a medicare enrolled "Physician Assistant" physician in Chicago, Illinois. Her current practice location is
401 N Michigan Ave Ste 1200, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 635-0973.
Skyler Lee Jackson is licensed to practice in California (license number PA61349) 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 1831825017.
Physician's Profile
Full Name | Skyler Lee Jackson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 401 N Michigan Ave Ste 1200, Chicago, Illinois |
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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: 1831825017
- Provider Enumeration Date: 07/28/2022
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022485309
- Enrollment ID: I20221028001422
Medical Identifiers
Medical identifiers for Skyler Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831825017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PA61349 (California) | Secondary |
363A00000X | Physician Assistant | PA61349 (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. Skyler Lee 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 |
Skyler Lee Jackson, PA-C 365 Perkins St Apt 204, Oakland, CA 94610-3425 Ph: (248) 842-8464 | Skyler Lee Jackson, PA-C 401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264 Ph: (312) 635-0973 |
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