Jackson Fraser, PA - Medicare Physician Assistant in Agoura Hills, CA

Jackson Fraser, PA is a medicare enrolled "Physician Assistant" in Agoura Hills, California. His current practice location is 28720 Roadside Dr, Suite 399, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 575-9501.

Jackson Fraser is licensed to practice in California (license number PA22498) 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 1841540721.

Contact Information

Jackson Fraser, PA
28720 Roadside Dr, Suite 399,
Agoura Hills, CA 91301-3316
(818) 575-9501
(818) 575-9052



Provider's Profile

Full NameJackson Fraser
GenderMale
SpecialityPhysician Assistant
Location28720 Roadside Dr, Agoura Hills, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841540721
  • Provider Enumeration Date: 09/18/2012
  • Last Update Date: 06/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5193976884
  • Enrollment ID: I20121126000051

Medical Identifiers

Medical identifiers for Jackson Fraser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841540721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA22498 (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. Jackson Fraser 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
Jackson Fraser, PA
28720 Roadside Dr, Suite 399,
Agoura Hills, CA 91301-3316

Ph: (818) 575-9501
Jackson Fraser, PA
28720 Roadside Dr, Suite 399,
Agoura Hills, CA 91301-3316

Ph: (818) 575-9501

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Physician Assistant Nurses in Agoura Hills, CA

Mrs. Tana Marie Richter, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 28240 Agoura Rd, Suite #102, Agoura Hills, CA 91301
Phone: 818-706-9690    Fax: 818-706-9692
Ms. Hanna Boparai, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 30954 Lobo Canyon Rd, Agoura Hills, CA 91301
Phone: 747-284-5700    
Richard Gregory, MPSA, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 29039 Hollow Oak Ct, Agoura Hills, CA 91301
Phone: 818-438-7882    
Jason Kopstein,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5825 Kanan Rd Ste B, Agoura Hills, CA 91301
Phone: 818-483-0775    
Jane Frances Hammond, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 28240 Agoura Rd Ste 201, Agoura Hills, CA 91301
Phone: 747-334-2443    
Emily Tejeda, MMS, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 29525 Canwood St Ste 219, Agoura Hills, CA 91301
Phone: 818-865-8133    Fax: 818-865-1223

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