Jacob R Wardyn, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. His current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 444-2200.
Jacob R Wardyn is licensed to practice in * (Not Available) (license number ) 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 1871034728.
Physician's Profile
Full Name | Jacob R Wardyn |
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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 | 9500 Euclid Ave, Cleveland, Ohio |
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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: 1871034728
- Provider Enumeration Date: 03/11/2017
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688951486
- Enrollment ID: I20170504000631
Medical Identifiers
Medical identifiers for Jacob R Wardyn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871034728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD-46387 (Iowa) | Secondary |
208D00000X | General Practice | MD-46387 (Iowa) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 R Wardyn 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 R Wardyn, MD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 444-2200 | Jacob R Wardyn, MD 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 444-2200 |
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