Jason Vaughn Shoemaker, PHD is a
Community Health Worker based in Sandy, Utah. Jason Vaughn Shoemaker is licensed to practice in * (Not Available) (license number ) and his current practice location is
9045 S 1300 E, Sandy, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 666-6834.
NPI number for Jason Vaughn Shoemaker is 1023404563 and his current mailing address is 4095 S 900 E, Millcreek, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023404563.
Healthcare Provider's Profile
| Full Name | Jason Vaughn Shoemaker |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 9045 S 1300 E, Sandy, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023404563
- Provider Enumeration Date: 04/11/2015
- Last Update Date: 02/24/2023
Medical Identifiers
Medical identifiers for Jason Vaughn Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023404563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1198020415 (California) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | I7460559728 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Jason Vaughn Shoemaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jason Vaughn Shoemaker, PHD
4095 S 900 E,
Millcreek, UT 84117
Ph: (310) 795-4066 | Jason Vaughn Shoemaker, PHD
9045 S 1300 E,
Sandy, UT 84094-3134
Ph: (801) 666-6834 |
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