Jason Patterson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fairborn, Ohio. His current practice location is
2555 University Dr, Fairborn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 775-8148.
Jason Patterson is licensed to practice in Nebraska (license number 2635) 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 1568091536.
Physician's Profile
| Full Name | Jason Patterson |
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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 | 2555 University Dr, Fairborn, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568091536
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991126021
- Enrollment ID: I20230616001210
Medical Identifiers
Medical identifiers for Jason Patterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568091536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 58.031782 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2635 (Nebraska) | 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. Jason Patterson allows following entities to bill medicare on his behalf.
| Entity Name | Mahajan Therapeutics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669531810
PECOS PAC ID: 8820236524
Enrollment ID: O20160809001647 |
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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 Patterson 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 Patterson,
2555 University Dr,
Fairborn, OH 45324-6255
Ph: () - | Jason Patterson,
2555 University Dr,
Fairborn, OH 45324-6255
Ph: (937) 775-8148 |
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