Jason Andrew Tepper, is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Spanish Fork, Utah. His current practice location is
642 Kirby Ln Ste 101, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 798-9500.
Jason Andrew Tepper is licensed to practice in Utah (license number 13788895-9924) 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 1619436425.
Healthcare Provider's Profile
Full Name | Jason Andrew Tepper |
---|
Gender | Male |
---|
Speciality | Oral & Maxillofacial Surgery |
---|
Location | 642 Kirby Ln Ste 101, Spanish Fork, Utah |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619436425
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 10/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254668304
- Enrollment ID: I20190812002845
Medical Identifiers
Medical identifiers for Jason Andrew Tepper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619436425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1002257-15 (Wisconsin) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13788895-9924 (Utah) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14380 (Minnesota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 13788895-9924 (Utah) | 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 Andrew Tepper 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 |
Jason Andrew Tepper, 2191 S Mcclelland St Apt 548, Salt Lake City, UT 84106-4455 Ph: (385) 831-1131 | Jason Andrew Tepper, 642 Kirby Ln Ste 101, Spanish Fork, UT 84660-5753 Ph: (801) 798-9500 |
Reviews and Comments