Dr Jerad E Widman, MD is a medicare enrolled "Family Medicine" physician in Spring Hill, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2001 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Memorial Hospital District and his current practice location is
22450 S Harrison St, Ste. 100, Spring Hill, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 592-2720.
Dr Jerad E Widman is licensed to practice in Kansas (license number 04-30763) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083655039.
Physician's Profile
| Full Name | Dr Jerad E Widman |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 24 Years |
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| Location | 22450 S Harrison St, Spring Hill, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerad E Widman attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2001
NPI Data:
- NPI Number: 1083655039
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496712168
- Enrollment ID: I20050210000727
Medical Identifiers
Medical identifiers for Dr Jerad E Widman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083655039 | NPI | - | NPPES |
| 200300220D | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 04-30763 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Memorial Hospital District | 0345153680 | 12 |
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 Jerad E Widman allows following entities to bill medicare on his behalf.
| Entity Name | Lincoln County Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1942265327
PECOS PAC ID: 0941118061
Enrollment ID: O20030908000008 |
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| Entity Name | Lincoln County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841248952
PECOS PAC ID: 0941118061
Enrollment ID: O20050225000744 |
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| Entity Name | Shawnee Mission Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992735690
PECOS PAC ID: 9537119037
Enrollment ID: O20050701000310 |
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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 Jerad E Widman 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 |
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Dr Jerad E Widman, MD
22450 S Harrison St, Ste 100,
Spring Hill, KS 66083-3151
Ph: (913) 592-2720 | Dr Jerad E Widman, MD
22450 S Harrison St, Ste. 100,
Spring Hill, KS 66083-3151
Ph: (913) 592-2720 |
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