| Colton Worth Jackson, PA-C | |
|
8300 Constitution Ave Ne, Bldg D, Albuquerque, NM 87110-7613 | |
| (505) 291-2200 | |
| Not Available |
| Full Name | Colton Worth Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 8300 Constitution Ave Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780339564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2022-0118 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Worth Jackson, PA-C Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 412-7467 | Colton Worth Jackson, PA-C 8300 Constitution Ave Ne, Bldg D, Albuquerque, NM 87110-7613 Ph: (505) 291-2200 |
Audra Dawn Clemens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 Roma Ave Nw, Albuquerque, NM 87102 Phone: 505-262-3542 | |
Jessica Rose Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5904 Holly Ave Ne, Albuquerque, NM 87113 Phone: 505-298-2505 | |
Elise Nicole Pedigo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Haines Ave Nw, Albuquerque, NM 87102 Phone: 505-268-5611 Fax: 505-268-5736 | |
Mrs. Danielle Kimberly Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8301 Spain Rd Ne, Albuquerque, NM 87109 Phone: 505-821-6663 | |
Ms. Lauren Soules, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3615 Highway 528 Nw, Albuquerque, NM 87114 Phone: 505-248-1518 | |
Jennifer Lynn Otis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3741 Rutledge Rd Ne, Albuquerque, NM 87109 Phone: 505-798-9300 Fax: 505-798-0808 | |
Luke Ezekiel Glazener, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125 |