Jacob Randal Rash, MD is a medicare enrolled "Surgery" physician in Cameron, Missouri. His current practice location is
1600 E Evergreen St, Cameron, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 632-2101.
Jacob Randal Rash is licensed to practice in Missouri (license number 2019046708) 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 1104321462.
Physician's Profile
Full Name | Jacob Randal Rash |
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Gender | Male |
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Speciality | Surgery |
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Location | 1600 E Evergreen St, Cameron, Missouri |
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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: 1104321462
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305193657
- Enrollment ID: I20230911000458
Medical Identifiers
Medical identifiers for Jacob Randal Rash such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104321462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 2019046708 (Missouri) | Primary |
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. Jacob Randal Rash allows following entities to bill medicare on his behalf.
Entity Name | Cameron Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811905375 PECOS PAC ID: 5092622001 Enrollment ID: O20040113000619 |
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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. Jacob Randal Rash 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 Randal Rash, MD 1600 E Evergreen St, Cameron, MO 64429-2400 Ph: (816) 632-2101 | Jacob Randal Rash, MD 1600 E Evergreen St, Cameron, MO 64429-2400 Ph: (816) 632-2101 |
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