Mr Jackson Grey Likens, PA-C in Seattle, WA - Medicare Physician Assistant

Mr Jackson Grey Likens, PA-C is a medicare enrolled "Physician Assistant" in Seattle, Washington. His current practice location is 3651 Ashworth Ave N Unit B, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (407) 927-1656.

Mr Jackson Grey Likens is licensed to practice in Washington (license number PA61450103) 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 1851075477.

Contact Information

	Mr Jackson Grey Likens, PA-C
	3651 Ashworth Ave N Unit B, Seattle, WA 98103-8116
	(407) 927-1656
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jackson Grey Likens
Gender	Male
Speciality	Physician Assistant
Location	3651 Ashworth Ave N Unit B, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851075477
Provider Enumeration Date: 06/14/2023
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2365803160
Enrollment ID: I20230726001659

Medical Identifiers

Medical identifiers for Mr Jackson Grey Likens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851075477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	9116959 (Florida)	Secondary
363A00000X	Physician Assistant	PA61450103 (Washington)	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. Mr Jackson Grey Likens 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
Mr Jackson Grey Likens, PA-C 18012 68th Ave S Ste 101, Kent, WA 98032-1022 Ph: (425) 291-3300	Mr Jackson Grey Likens, PA-C 3651 Ashworth Ave N Unit B, Seattle, WA 98103-8116 Ph: (407) 927-1656

Reviews and Comments

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Mr Jackson Grey Likens, PA-C - Medicare Physician Assistant in Seattle, WA