Jason Khoa Lam, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Saint Louis, Missouri. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
1402 S Grand Blvd Rm 157, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 977-8887.
Jason Khoa Lam is licensed to practice in Missouri (license number 2017011857) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861837338.
Physician's Profile
| Full Name | Jason Khoa Lam |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 11 Years |
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| Location | 1402 S Grand Blvd Rm 157, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jason Khoa Lam graduated from medical school in 2013
NPI Data:
- NPI Number: 1861837338
- Provider Enumeration Date: 05/09/2013
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092946640
- Enrollment ID: I20200122002615
Medical Identifiers
Medical identifiers for Jason Khoa Lam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861837338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 5101020471 (Michigan) | Secondary |
| 208000000X | Pediatrics | 5101020471 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 5101020471 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2017011857 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Jason Khoa Lam allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Jason Khoa Lam 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 |
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Jason Khoa Lam, DO
1402 S Grand Blvd Rm 157,
Saint Louis, MO 63104-1004
Ph: (314) 977-8887 | Jason Khoa Lam, DO
1402 S Grand Blvd Rm 157,
Saint Louis, MO 63104-1004
Ph: (314) 977-8887 |
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