Andrew Jedlicka, MS, LAT, ATC is a
Specialist/technologist - Athletic Trainer physician based in Des Moines, Iowa. Andrew Jedlicka is licensed to practice in Iowa (license number ) and his current practice location is 1421 27th St, Des Moines, Iowa. He can be reached at his office (for appointments etc.) via phone at
(563) 219-2200.
NPI number for Andrew Jedlicka is 1134578347 and his current mailing address is 1421 27th St, Des Moines, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134578347.
Physician's Profile
Full Name | Andrew Jedlicka |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 1421 27th St, Des Moines, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134578347
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 08/02/2022
Medical Identifiers
Medical identifiers for Andrew Jedlicka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134578347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 000918 (Iowa) | Secondary |
207PS0010X | Emergency Medicine - Sports Medicine | 1926-39 (Wisconsin) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (Iowa) | 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. Andrew Jedlicka 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 |
Andrew Jedlicka, MS, LAT, ATC 1421 27th St, Des Moines, IA 50311-3020 Ph: (563) 219-2200 | Andrew Jedlicka, MS, LAT, ATC 1421 27th St, Des Moines, IA 50311-3020 Ph: (563) 219-2200 |
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