Jared Max Gopman, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Dunedin, Florida. His current practice location is
3129 Alternate 19, Dunedin, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 400-4768.
Jared Max Gopman is licensed to practice in Florida (license number ME161008) 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 1497109847.
Physician's Profile
Full Name | Jared Max Gopman |
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Gender | Male |
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Speciality | Plastic Surgery - Surgery Of The Hand |
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Location | 3129 Alternate 19, Dunedin, 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: 1497109847
- Provider Enumeration Date: 04/21/2016
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284970922
- Enrollment ID: I20230831001062
Medical Identifiers
Medical identifiers for Jared Max Gopman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497109847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2082S0105X | Plastic Surgery - Surgery Of The Hand | ME161008 (Florida) | 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. Jared Max Gopman allows following entities to bill medicare on his behalf.
Entity Name | Ls Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629852744 PECOS PAC ID: 2062876600 Enrollment ID: O20230914001965 |
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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. Jared Max Gopman 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 |
Jared Max Gopman, MD 5 E 98th St, Box 1259, New York, NY 10029 Ph: (212) 241-5873 | Jared Max Gopman, MD 3129 Alternate 19, Dunedin, FL 34698-1503 Ph: (727) 400-4768 |
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