Jaison Jacob John, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Temple, Texas. His current practice location is
2401 S 31st St # Msag407q, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 724-9290.
Jaison Jacob John is licensed to practice in Texas (license number BP10072178) 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 1053932293.
Physician's Profile
Full Name | Jaison Jacob John |
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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 | 2401 S 31st St # Msag407q, Temple, Texas |
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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: 1053932293
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395166599
- Enrollment ID: I20200526001206
Medical Identifiers
Medical identifiers for Jaison Jacob John such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053932293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | BP10072178 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | BP10072178 (Texas) | 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. Jaison Jacob John 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 |
Jaison Jacob John, DO 2401 S 31st St # Msag407q, Temple, TX 76508-0001 Ph: (254) 724-9290 | Jaison Jacob John, DO 2401 S 31st St # Msag407q, Temple, TX 76508-5302 Ph: (254) 724-9290 |
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