Dr Jared Wannenwetsch, DC is a medicare enrolled "Chiropractor" provider in Citra, Florida. His current practice location is
18155 Nw 24th Ave, Citra, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 817-5574.
Dr Jared Wannenwetsch is licensed to practice in Florida (license number CH11534) 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 1245686823.
Healthcare Provider's Profile
| Full Name | Dr Jared Wannenwetsch |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractor |
|---|
| Location | 18155 Nw 24th Ave, Citra, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1245686823
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 05/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284926684
- Enrollment ID: I20160705001686
Medical Identifiers
Medical identifiers for Dr Jared Wannenwetsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245686823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH11534 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jared Wannenwetsch allows following entities to bill medicare on his behalf.
| Provider Name | Physical Medicine Associates Of Gainesville Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1912397886
PECOS PAC ID: 8224359138
Enrollment ID: O20150604000185 |
|---|
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. Dr Jared Wannenwetsch 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 |
|---|
Dr Jared Wannenwetsch, DC
3703 Sw 13th St,
Gainesville, FL 32608-3507
Ph: (352) 372-4100 | Dr Jared Wannenwetsch, DC
18155 Nw 24th Ave,
Citra, FL 32113-2167
Ph: (352) 817-5574 |
Reviews and Comments