Mrs Danielle Leenora Jackson, PA-C is a medicare enrolled "Physician Assistant" in Sausalito, California. Her current practice location is
630 Drake Ave, Sausalito, California. You can reach out to her office (for appointments etc.) via phone at
(415) 339-8813.
Mrs Danielle Leenora Jackson is licensed to practice in Maryland (license number C0003980) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770711459.
Provider's Profile
Full Name | Mrs Danielle Leenora Jackson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 630 Drake Ave, Sausalito, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770711459
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 01/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 0345394334
- Enrollment ID: I20120504000159
Medical Identifiers
Medical identifiers for Mrs Danielle Leenora Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770711459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA030597 (District Of Columbia) | Secondary |
363A00000X | Physician Assistant | C0003980 (Maryland) | Primary |
363A00000X | Physician Assistant | PA21525 (California) | Secondary |
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. Mrs Danielle Leenora 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 |
Mrs Danielle Leenora Jackson, PA-C 630 Drake Ave, Sausalito, CA 94965-1107 Ph: (415) 339-8813 | Mrs Danielle Leenora Jackson, PA-C 630 Drake Ave, Sausalito, CA 94965-1107 Ph: (415) 339-8813 |
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