Jeannette R Rackham, PA in Dallas, TX - Medicare Physician Assistant

Jeannette R Rackham, PA is a medicare enrolled "Physician Assistant" in Dallas, Texas. Her current practice location is 1717 Main St, Ste 5200, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 712-2775.

Jeannette R Rackham is licensed to practice in Texas (license number PA03203) 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 1003878844.

Contact Information

	Jeannette R Rackham, PA
	1717 Main St, Ste 5200, Dallas, TX 75201-4612
	(214) 712-2775
	Not Available

Provider's Profile

Full Name	Jeannette R Rackham
Gender	Female
Speciality	Physician Assistant
Location	1717 Main St, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003878844
Provider Enumeration Date: 04/05/2006
Last Update Date: 12/26/2012

Medicare PECOS Information:

PECOS PAC ID: 5698791564
Enrollment ID: I20051020000075

Medical Identifiers

Medical identifiers for Jeannette R Rackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003878844	NPI	-	NPPES
181488102	Medicaid	TX
8N9119	Other	TX	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA03203 (Texas)	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. Jeannette R Rackham 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
Jeannette R Rackham, PA 5551 Clay Ct, Grand Prairie, TX 75052-0705 Ph: (254) 702-7665	Jeannette R Rackham, PA 1717 Main St, Ste 5200, Dallas, TX 75201-4612 Ph: (214) 712-2775

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Mrs. Tanya Marie Pletin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-6400 Fax: 214-648-5461
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Mallory Michelle Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9301 N Central Expy Ste 500, Dallas, TX 75231 Phone: 214-220-2468 Fax: 214-720-1982
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Marlen Vanessa Piersall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 Inwood Rd, Dallas, TX 75235 Phone: 214-654-2900

Jeannette R Rackham, PA - Medicare Physician Assistant in Dallas, TX