Dina A Jackson, PA-C - Medicare Physician Assistant in Fresno, CA

Dina A Jackson, PA-C is a medicare enrolled "Physician Assistant" in Fresno, California. Her current practice location is 1275 E Spruce Ave, Ste 101, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 439-5757.

Dina A Jackson is licensed to practice in California (license number PA11863) 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 1033155452.

Contact Information

Dina A Jackson, PA-C
1275 E Spruce Ave, Ste 101,
Fresno, CA 93720-3372
(559) 439-5757
Not Available



Provider's Profile

Full NameDina A Jackson
GenderFemale
SpecialityPhysician Assistant
Location1275 E Spruce Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033155452
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 11/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7618993049
  • Enrollment ID: I20051014000793

Medical Identifiers

Medical identifiers for Dina A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033155452NPI-NPPES
PA11863MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA11863 (California)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. Dina A 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
Dina A Jackson, PA-C
2037 W Bullard Ave, #135,
Fresno, CA 93711-1200

Ph: () -
Dina A Jackson, PA-C
1275 E Spruce Ave, Ste 101,
Fresno, CA 93720-3372

Ph: (559) 439-5757

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Physician Assistant Nurses in Fresno, CA

Whitney Ann Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-499-6440    
Ericson Mutsuo Hirose, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-443-2682    Fax: 559-443-2681
Chandni T Patel,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9715 N Willey Ct, Fresno, CA 93720
Phone: 559-260-9001    
William Joseph Johncox, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720
Phone: 559-432-6807    Fax: 559-432-6937
Rocio Patricia Naranjo, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7471 N Fresno St, Fresno, CA 93720
Phone: 559-436-4500    Fax: 559-436-0500
Charlene Kim Dang, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-459-3770    
Kelby Borchgrevink,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3425 N 1st St, Fresno, CA 93726
Phone: 559-608-6581    

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