Mr Micah Roy Jackson, PA in Tyler, TX - Medicare Physician Assistant

Mr Micah Roy Jackson, PA is a medicare enrolled "Physician Assistant" in Tyler, Texas. His current practice location is 1814 Roseland Blvd, Suite 200, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 592-6000.

Mr Micah Roy Jackson is licensed to practice in Texas (license number PA06963) 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 1558665703.

Contact Information

	Mr Micah Roy Jackson, PA
	1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234
	(903) 592-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Micah Roy Jackson
Gender	Male
Speciality	Physician Assistant
Location	1814 Roseland Blvd, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558665703
Provider Enumeration Date: 01/03/2011
Last Update Date: 04/19/2016

Medicare PECOS Information:

PECOS PAC ID: 3173701935
Enrollment ID: I20110624000552

Medical Identifiers

Medical identifiers for Mr Micah Roy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558665703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA06963 (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. Mr Micah Roy 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
Mr Micah Roy Jackson, PA 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1954 Ph: (903) 592-6000	Mr Micah Roy Jackson, PA 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 Ph: (903) 592-6000

Reviews and Comments

Physician Assistant Nurses in Tyler, TX

David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255
Miss Natalie Shea Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 E Idel St, Tyler, TX 75701 Phone: 903-535-2902 Fax: 903-535-9217
Amber Blissett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455

Mr Micah Roy Jackson, PA - Medicare Physician Assistant in Tyler, TX