Mr Timothy Lawrence Jackson, PA - Medicare Physician Assistant in Williams, AZ

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Mr Timothy Lawrence Jackson, PA is a medicare enrolled "Physician Assistant - Medical" in Williams, Arizona. His current practice location is 300 S 6th St, Williams, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 635-4441.

Mr Timothy Lawrence Jackson is licensed to practice in Arizona (license number 5407) 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 1124338504.

Contact Information

Mr Timothy Lawrence Jackson, PA
300 S 6th St,
Williams, AZ 86046-0110
(928) 635-4441
Not Available

Map and Direction




Provider's Profile

Full NameMr Timothy Lawrence Jackson
GenderMale
SpecialityPhysician Assistant - Medical
Location300 S 6th St, Williams, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124338504
  • Provider Enumeration Date: 10/19/2010
  • Last Update Date: 07/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658569959
  • Enrollment ID: I20110103000130

Medical Identifiers

Medical identifiers for Mr Timothy Lawrence Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124338504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5407 (Arizona)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 Timothy Lawrence 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 AddressPractice Location Address
Mr Timothy Lawrence Jackson, PA
Po Box 3630,
Flagstaff, AZ 86003-3630

Ph: () -		Mr Timothy Lawrence Jackson, PA
300 S 6th St,
Williams, AZ 86046-0110

Ph: (928) 635-4441

Reviews and Comments


Physician Assistant Nurses in Williams, AZ

Kamran Javadi, PA-C, MPH
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 S 6th St, Williams, AZ 86046
Phone: 928-635-4441    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.