Mrs Janette Lee Jackson, PHYSICIAN ASSISTANT in Los Angeles, CA

Mrs Janette Lee Jackson, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Los Angeles, California. Her current practice location is 2618 South Western Avenue, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 730-9000.

Mrs Janette Lee Jackson is licensed to practice in California (license number 16118) 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 1639390578.

Contact Information

	Mrs Janette Lee Jackson, PHYSICIAN ASSISTANT
	2618 South Western Avenue, Los Angeles, CA 90018
	(323) 730-9000
	(323) 730-4825

Map and Direction

Provider's Profile

Full Name	Mrs Janette Lee Jackson
Gender	Female
Speciality	Physician Assistant
Location	2618 South Western Avenue, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639390578
Provider Enumeration Date: 05/01/2007
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 9931095619
Enrollment ID: I20040227000715

Medical Identifiers

Medical identifiers for Mrs Janette Lee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639390578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	16118 (California)	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. Mrs Janette Lee 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 Janette Lee Jackson, PHYSICIAN ASSISTANT 665 N D St, San Bernardino, CA 92401-1109 Ph: (909) 708-8158	Mrs Janette Lee Jackson, PHYSICIAN ASSISTANT 2618 South Western Avenue, Los Angeles, CA 90018 Ph: (323) 730-9000

Reviews and Comments

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Mrs Janette Lee Jackson, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Los Angeles, CA