Jacob Nash, PA-C - Medicare Physician Assistant in Albuquerque, NM

Jacob Nash, PA-C is a medicare enrolled "Physician Assistant" physician in Albuquerque, New Mexico. His current practice location is 1524 Eubank Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 977-5846.

Jacob Nash is licensed to practice in New Mexico (license number PA2023-0210) 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 1194487355.

Contact Information

Jacob Nash, PA-C
1524 Eubank Blvd Ne,
Albuquerque, NM 87112-4166
(505) 977-5846
Not Available



Physician's Profile

Full NameJacob Nash
GenderMale
SpecialityPhysician Assistant
Location1524 Eubank Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194487355
  • Provider Enumeration Date: 10/06/2021
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800257205
  • Enrollment ID: I20230802000196

Medical Identifiers

Medical identifiers for Jacob Nash such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194487355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PA2023-0210 (New Mexico)Secondary
363A00000XPhysician Assistant PA2023-0210 (New Mexico)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. Jacob Nash 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
Jacob Nash, PA-C
1524 Eubank Blvd Ne,
Albuquerque, NM 87112-4166

Ph: () -
Jacob Nash, PA-C
1524 Eubank Blvd Ne,
Albuquerque, NM 87112-4166

Ph: (505) 977-5846

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