Jacob Mcclendon, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. His current practice location is
1147 Nw 64th Ter, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 333-5168.
Jacob Mcclendon is licensed to practice in Florida (license number OS16271) 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 1144724105.
Physician's Profile
Full Name | Jacob Mcclendon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1147 Nw 64th Ter, Gainesville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144724105
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759630718
- Enrollment ID: I20180823003116
Medical Identifiers
Medical identifiers for Jacob Mcclendon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144724105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | OS16271 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OS16271 (Florida) | 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. Jacob Mcclendon 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 |
Jacob Mcclendon, DO 250 Walnut Cv, Dawsonville, GA 30534-6994 Ph: (770) 871-8203 | Jacob Mcclendon, DO 1147 Nw 64th Ter, Gainesville, FL 32605-4218 Ph: (352) 333-5168 |
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