Individual ProviderPatricia JacksonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2790 Health Pkwy, Mount Pleasant, MI 48858-6934(989) 953-5320PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Jackson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013778109Provider TypeIndividualFull NameJackson, PatriciaGenderFemaleSole ProprietorNoEnumeration Date1/17/2024Last Updated7/9/2025Contact InformationPractice LocationPractice Address2790 Health Pkwy, Mount Pleasant, MI 48858-6934Phone(989) 953-5320Fax(989) 317-2392Mailing LocationMailing Address2790 Health Pkwy, Mount Pleasant, MI 48858-6934PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer