Jasper Brayton Terry, PA-C in Albuquerque, NM - Medicare Physician Assistant

Jasper Brayton Terry, PA-C is a medicare enrolled "Physician Assistant" in Albuquerque, New Mexico. His current practice location is 1100 Central Ave Se, Pmg Emergency Medicine, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 841-1125.

Jasper Brayton Terry is licensed to practice in New Mexico (license number PA2010-0080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306149935.

Contact Information

	Jasper Brayton Terry, PA-C
	1100 Central Ave Se, Pmg Emergency Medicine, Albuquerque, NM 87106-4930
	(505) 841-1125
	(505) 841-1737

Map and Direction

Provider's Profile

Full Name	Jasper Brayton Terry
Gender	Male
Speciality	Physician Assistant
Location	1100 Central Ave Se, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306149935
Provider Enumeration Date: 12/21/2010
Last Update Date: 11/06/2015

Medicare PECOS Information:

PECOS PAC ID: 1052597135
Enrollment ID: I20110526000031

Medical Identifiers

Medical identifiers for Jasper Brayton Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306149935	NPI	-	NPPES
71122842	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA2010-0080 (New Mexico)	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. Jasper Brayton Terry 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
Jasper Brayton Terry, PA-C Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770	Jasper Brayton Terry, PA-C 1100 Central Ave Se, Pmg Emergency Medicine, Albuquerque, NM 87106-4930 Ph: (505) 841-1125

Reviews and Comments

Physician Assistant Nurses in Albuquerque, NM

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Luke Ezekiel Glazener, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1125

Jasper Brayton Terry, PA-C - Medicare Physician Assistant in Albuquerque, NM