Skip to main content
IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Mr. Timothy Lawrence Jackson

PA

Physician Assistant - Medical

NPI: 1124338504Williams, Arizona, 86046(928) 635-4441Male

About Mr. Timothy Lawrence Jackson

Mr. Timothy Lawrence Jackson, PA, is a male healthcare professional specializing in Physician Assistant - Medical with a focus on Medical, registered under National Provider Identifier (NPI) number 1124338504.

Their primary practice is located at 300 S 6TH ST, Williams, Arizona 86046. Patients can reach the office at (928) 635-4441. Mr. Timothy Lawrence Jackson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

As a prescriber, Mr. Timothy Lawrence Jackson has 110 prescription claims processed, totaling $3,197 in drug costs. Mr. Timothy Lawrence Jackson has been NPI-registered since 2010.

Key Metrics

Rx Claims

110

$3,197.37

Doctor Details

Identity & Credentials

NPI Number
1124338504
Entity Type
Individual
First Name
Timothy
Last Name
Jackson
Credential
PA
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
300 S 6TH ST
City
Williams
State
Arizona
ZIP
86046-0110
Country
United States
Phone
(928) 635-4441

Specialty & Taxonomy

Primary Specialty
Physician Assistant - Medical
Classification
Physician Assistant
Specialization
Medical
Taxonomy Code
363AM0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 3630
City
FLAGSTAFF
State
AZ
ZIP
860033630

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
110
Total Rx Cost
$3,197.37
Opioid Prescriber Rate
0.0%

Frequently Asked Questions

What is Mr. Timothy Lawrence Jackson's NPI number?
Mr. Timothy Lawrence Jackson's National Provider Identifier (NPI) is 1124338504. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Timothy Lawrence Jackson specialize in?
Mr. Timothy Lawrence Jackson specializes in Physician Assistant - Medical.
Where is Mr. Timothy Lawrence Jackson located?
Mr. Timothy Lawrence Jackson practices at 300 S 6TH ST, Williams, Arizona 86046. You can reach them by phone at (928) 635-4441.
Does Mr. Timothy Lawrence Jackson accept Medicare?
Yes, Mr. Timothy Lawrence Jackson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Timothy Lawrence Jackson offer telehealth or virtual visits?
Mr. Timothy Lawrence Jackson does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Timothy Lawrence Jackson prescribe medications?
Yes, Mr. Timothy Lawrence Jackson is an authorized prescriber. They have processed 110 prescription claims totaling $3,197.37.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Timothy Lawrence Jackson is 1124338504.