Jonathan Dale Privett, MD is a medicare enrolled "Family Medicine" physician in Laurie, Missouri. His current practice location is
156 Missouri Blvd, Ste B, Laurie, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 374-5263.
Jonathan Dale Privett is licensed to practice in Missouri (license number 2003001992) 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 1912945957.
Physician's Profile
| Full Name | Jonathan Dale Privett |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 156 Missouri Blvd, Laurie, 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:
- Jonathan Dale Privett attended and graduated from in
NPI Data:
- NPI Number: 1912945957
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 05/07/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jonathan Dale Privett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912945957 | NPI | - | NPPES |
| 1912945957 | Medicaid | MO | |
| 207431909 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2003001992 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2003001992 (Missouri) | 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. Jonathan Dale Privett 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 |
|---|
Jonathan Dale Privett, MD
54 Hospital Dr,
Osage Beach, MO 65065-3050
Ph: (573) 348-8399 | Jonathan Dale Privett, MD
156 Missouri Blvd, Ste B,
Laurie, MO 65038
Ph: (573) 374-5263 |
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