Naomi Namrota Jackson, PA-C in Wilmington, NC - Medicare Physician Assistant

Naomi Namrota Jackson, PA-C is a medicare enrolled "Physician Assistant" physician in Wilmington, North Carolina. Her current practice location is 2909 Market St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 795-2118.

Naomi Namrota Jackson is licensed to practice in North Carolina (license number 0010-12831) 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 1730899352.

Contact Information

	Naomi Namrota Jackson, PA-C
	2909 Market St, Wilmington, NC 28403-1221
	(910) 795-2118
	Not Available

Physician's Profile

Full Name	Naomi Namrota Jackson
Gender	Female
Speciality	Physician Assistant
Location	2909 Market St, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730899352
Provider Enumeration Date: 12/05/2022
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6709256043
Enrollment ID: I20230103002194

Medical Identifiers

Medical identifiers for Naomi Namrota Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730899352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0000X	Pain Medicine - Pain Medicine	0010-12831 (North Carolina)	Secondary
363A00000X	Physician Assistant	0010-12831 (North Carolina)	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. Naomi Namrota 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
Naomi Namrota Jackson, PA-C 1630 Barclay Pointe Blvd Apt 9201, Wilmington, NC 28412-1107 Ph: (731) 535-1629	Naomi Namrota Jackson, PA-C 2909 Market St, Wilmington, NC 28403-1221 Ph: (910) 795-2118

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Naomi Namrota Jackson, PA-C - Medicare Physician Assistant in Wilmington, NC