Brian Gene Jackson, PAC in La Jara, CO - Medicare Physician Assistant

Brian Gene Jackson, PAC is a medicare enrolled "Physician Assistant" in La Jara, Colorado. He went to University Of Colorado School Of Medicine, Denver and graduated in 1993 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lutheran Hospital Association Of The San Luis Valley and his current practice location is 509 Main Street, La Jara, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 376-2308.

Brian Gene Jackson is licensed to practice in Colorado (license number 843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245261064.

Contact Information

	Brian Gene Jackson, PAC
	509 Main Street, La Jara, CO 81140
	(719) 376-2308
	(719) 376-2395

Map and Direction

Provider's Profile

Full Name	Brian Gene Jackson
Gender	Male
Speciality	Physician Assistant
Experience	31 Years
Location	509 Main Street, La Jara, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Gene Jackson attended and graduated from University Of Colorado School Of Medicine, Denver in 1993

NPI Data:

NPI Number: 1245261064
Provider Enumeration Date: 07/06/2006
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5890970461
Enrollment ID: I20110425000598

Medical Identifiers

Medical identifiers for Brian Gene Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245261064	NPI	-	NPPES
07008436	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	843 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Luis Valley Health Conejos County Hospital	La jara, CO	Hospital
San Luis Valley Health	Alamosa, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Hospital Association Of The San Luis Valley	4789589094	100

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. Brian Gene 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
Brian Gene Jackson, PAC 19021 Us Highway 285, La Jara, CO 81140-9410 Ph: (719) 376-2308	Brian Gene Jackson, PAC 509 Main Street, La Jara, CO 81140 Ph: (719) 376-2308

Brian Gene Jackson, PAC - Medicare Physician Assistant in La Jara, CO