Marylee Jackson, PA is a medicare enrolled "Physician Assistant" provider in Greenville, South Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bon Secours Medical Group Greenville Specialty Care Llc and her current practice location is
3 Saint Francis Dr Ste 360, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 232-4349.
Marylee Jackson is licensed to practice in South Carolina (license number 509) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215978044.
Healthcare Provider's Profile
| Full Name | Marylee Jackson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 3 Saint Francis Dr Ste 360, Greenville, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marylee Jackson attended and graduated from Medical University Of South Carolina College Of Medicine in 1997
NPI Data:
- NPI Number: 1215978044
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 04/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830089853
- Enrollment ID: I20040316000118
Medical Identifiers
Medical identifiers for Marylee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215978044 | NPI | - | NPPES |
| 0037PA | Medicaid | SC | |
| 3337PA | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 8826 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 509 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 237 |
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. Marylee 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 |
|---|
Marylee Jackson, PA
Po Box 25039,
Greenville, SC 29616-0039
Ph: (864) 233-4349 | Marylee Jackson, PA
3 Saint Francis Dr Ste 360,
Greenville, SC 29601-3972
Ph: (864) 232-4349 |
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