Christopher H Jackson, RPA-C is a medicare enrolled "Physician Assistant" in Indian Lake, New York. He went to University Of Nebraska College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hudson Headwaters Health Network and his current practice location is
6356 Nys Route 30, Indian Lake, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 648-5707.
Christopher H Jackson is licensed to practice in New York (license number 006846) 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 1063524155.
Provider's Profile
| Full Name | Christopher H Jackson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 6356 Nys Route 30, Indian Lake, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christopher H Jackson attended and graduated from University Of Nebraska College Of Medicine in 1997
NPI Data:
- NPI Number: 1063524155
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658550264
- Enrollment ID: I20110128000502
Medical Identifiers
Medical identifiers for Christopher H Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063524155 | NPI | - | NPPES |
| 02346647 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 006846 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hudson Headwaters Health Network | 7416861208 | 167 |
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. Christopher H 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 |
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Christopher H Jackson, RPA-C
9 Carey Rd,
Queensbury, NY 12804-7880
Ph: (518) 761-0300 | Christopher H Jackson, RPA-C
6356 Nys Route 30,
Indian Lake, NY 12842-2021
Ph: (518) 648-5707 |
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