Sophia Julia Jaeckel, DO is a
Student In An Organized Health Care Education/training Program physician based in Grand Junction, Colorado. Sophia Julia Jaeckel is licensed to practice in Colorado (license number 0010212) and her current practice location is 2698 Patterson Rd Ste 100, Grand Junction, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 298-2874.
NPI number for Sophia Julia Jaeckel is 1871348649 and her current mailing address is 1880 Dover St, Lakewood, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871348649.
Physician's Profile
Full Name | Sophia Julia Jaeckel |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 2698 Patterson Rd Ste 100, Grand Junction, Colorado |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871348649
- Provider Enumeration Date: 04/23/2024
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Sophia Julia Jaeckel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871348649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0010212 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0010212 (Colorado) | 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. Sophia Julia Jaeckel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sophia Julia Jaeckel, DO 1880 Dover St, Lakewood, CO 80215-3187 Ph: (720) 243-2598 | Sophia Julia Jaeckel, DO 2698 Patterson Rd Ste 100, Grand Junction, CO 81506-8211 Ph: (970) 298-2874 |
Reviews and Comments