Leyton Endicott Jump, is a medicare enrolled "General Practice" physician in Tenino, Washington. His current practice location is
273 Sussex Ave E, Tenino, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 264-5665.
Leyton Endicott Jump is licensed to practice in Washington (license number MD00022762) 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 1790741924.
Physician's Profile
Full Name | Leyton Endicott Jump |
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Gender | Male |
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Speciality | General Practice |
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Location | 273 Sussex Ave E, Tenino, Washington |
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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: 1790741924
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 02/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 7911970207
- Enrollment ID: I20150626001385
Medical Identifiers
Medical identifiers for Leyton Endicott Jump such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790741924 | NPI | - | NPPES |
1005719 | Medicaid | WA | |
90836 | Other | WA | LABOR & INDUSTRIES |
G8856183 | Other | | PTAN |
G8856183 | Other | | MEDICARE |
T01236 | Other | | REGENCE |
101589 | Other | | BLACK LUNG |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD00022762 (Washington) | 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. Leyton Endicott Jump allows following entities to bill medicare on his behalf.
Entity Name | Lewis County Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
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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. Leyton Endicott Jump 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 |
Leyton Endicott Jump, Po Box 4020, Tenino, WA 98589-4020 Ph: (360) 264-5665 | Leyton Endicott Jump, 273 Sussex Ave E, Tenino, WA 98589-9359 Ph: (360) 264-5665 |
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