Ken Jackson, PA is a
Physician Assistant based in Lockney, Texas. Ken Jackson is licensed to practice in Texas (license number PA01096) and his current practice location is
320 N Main, Lockney, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 652-3373.
NPI number for Ken Jackson is 1659376341 and his current mailing address is Po Box 37, Lockney, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659376341.
Provider's Profile
| Full Name | Ken Jackson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 320 N Main, Lockney, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659376341
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ken Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659376341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA01096 (Texas) | 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. Ken Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ken Jackson, PA
Po Box 37,
Lockney, TX 79241-0037
Ph: (806) 652-3373 | Ken Jackson, PA
320 N Main,
Lockney, TX 79241-0037
Ph: (806) 652-3373 |
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