18535 FM 1488 RD SUITE 210
MAGNOLIA, TX 77354-2700 US PECOS Enrolled
Overview
Casey Yates Jackson is a Physician Assistant in the MAGNOLIA area. Casey Yates Jackson primary office location is at 18535 FM 1488 RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013189901 and the information was updated approximately 12 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| PA05689 | TX |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant - Taxonomy Code 363A00000X | TX | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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