Jason Mack Eversole, DO is a medicare enrolled "Family Medicine" physician in Mancos, Colorado. He went to William Carey University College Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southwest Health System Inc, Southwest Health System Inc and his current practice location is
111 E Railroad Ave, Mancos, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 533-9125.
Jason Mack Eversole is licensed to practice in Colorado (license number DR.0060930) 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 1699159178.
Physician's Profile
| Full Name | Jason Mack Eversole |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 111 E Railroad Ave, Mancos, Colorado |
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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 Mack Eversole attended and graduated from William Carey University College Of Osteopathic Medicine in 2015
NPI Data:
- NPI Number: 1699159178
- Provider Enumeration Date: 07/15/2015
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365792330
- Enrollment ID: I20180912002939
Medical Identifiers
Medical identifiers for Jason Mack Eversole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699159178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | BP10054761 594751 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 13605156-1204 (Utah) | Secondary |
| 207Q00000X | Family Medicine | OS20803 (Florida) | Secondary |
| 207Q00000X | Family Medicine | R1949 (Texas) | Secondary |
| 207Q00000X | Family Medicine | DR.0060930 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southwest Health System Inc | 5890699326 | 42 |
| Southwest Health System Inc | 5890699326 | 42 |
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 Mack Eversole allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649241571
PECOS PAC ID: 5890699326
Enrollment ID: O20031125000607 |
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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 Mack Eversole 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 Mack Eversole, DO
1311 N Mildred Rd,
Cortez, CO 81321-2231
Ph: () - | Jason Mack Eversole, DO
111 E Railroad Ave,
Mancos, CO 81328-9329
Ph: (970) 533-9125 |
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