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Sasa K. Jackson, PA-C

NPI 1447521539ActiveIndividual· Physician Assistant· Moore, OK

Physician Assistant (PA-C) in Moore, Oklahoma, licensed in OK, with an NPI issued in January 2012. 97 Medicare patients in 2024, $10,652 paid; nearly all of their 72 Part D prescriptions were generic (94%).

Overview

NPI1447521539
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 20, 2012
Last updated in NPPESJan 20, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2107OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OK)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients97
Services billed147 across 10 procedure codes
Paid by Medicare$10,652

Part D prescriptions in 2024

Prescriptions (claims)72 · 72 30-day fills
Patients51
Total drug cost$1,546
Generic share94% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Moore

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