Ms Carrie Michelle Jackman, PA-C - Medicare Physician Assistant in Provo, UT

Ms Carrie Michelle Jackman, PA-C is a medicare enrolled "Physician Assistant" in Provo, Utah. Her current practice location is 5314 N 250 W, Suite 220, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 225-8484.

Ms Carrie Michelle Jackman is licensed to practice in Utah (license number 6305663-1206) 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 1760602460.

Contact Information

Ms Carrie Michelle Jackman, PA-C
5314 N 250 W, Suite 220,
Provo, UT 84604-5691
(801) 225-8484
(801) 225-6170

Map and Direction




Provider's Profile

Full NameMs Carrie Michelle Jackman
GenderFemale
SpecialityPhysician Assistant
Location5314 N 250 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760602460
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6709982259
  • Enrollment ID: I20070501000115

Medical Identifiers

Medical identifiers for Ms Carrie Michelle Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760602460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6305663-1206 (Utah)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. Ms Carrie Michelle Jackman 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
Ms Carrie Michelle Jackman, PA-C
962 S 830 E,
Orem, UT 84097-4703

Ph: (801) 836-5873
Ms Carrie Michelle Jackman, PA-C
5314 N 250 W, Suite 220,
Provo, UT 84604-5691

Ph: (801) 225-8484

Reviews and Comments


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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.

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