Victor Jackson, PA-C - Medicare Physician Assistant in Coudersport, PA

Victor Jackson, PA-C is a medicare enrolled "Physician Assistant" in Coudersport, Pennsylvania. His current practice location is 1001 E 2nd St, Coudersport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 274-9300.

Victor Jackson is licensed to practice in Pennsylvania (license number MA052972) 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 1568644185.

Contact Information

Victor Jackson, PA-C
1001 E 2nd St,
Coudersport, PA 16915-8161
(814) 274-9300
Not Available

Map and Direction




Provider's Profile

Full NameVictor Jackson
GenderMale
SpecialityPhysician Assistant
Location1001 E 2nd St, Coudersport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568644185
  • Provider Enumeration Date: 12/05/2007
  • Last Update Date: 08/27/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9638226111
  • Enrollment ID: I20090421000254

Medical Identifiers

Medical identifiers for Victor Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568644185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA052972 (Pennsylvania)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. Victor 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
Victor Jackson, PA-C
1001 E 2nd St,
Coudersport, PA 16915-8161

Ph: (814) 274-9300
Victor Jackson, PA-C
1001 E 2nd St,
Coudersport, PA 16915-8161

Ph: (814) 274-9300

Reviews and Comments


Physician Assistant Nurses in Coudersport, PA

Mandy Collins Sillick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-260-5471    Fax: 814-260-5473
Mrs. Korin Marie Trumpie, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 East Second Street, Charles Cole Memorial Hospital, Coudersport, PA 16915
Phone: 814-274-9300    
Ms. Tiffany Anne Taylor, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-274-9300    Fax: 814-274-0807
Mrs. Crystal L Fowler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-274-5276    Fax: 814-274-4848
Adriane Yvonne Pierce, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-274-5276    
Chad T Jackson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-274-0900    
Todd Husson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E 2nd St, Coudersport, PA 16915
Phone: 814-274-9300    

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.