Sophia Julia Jaeckel, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grand Junction, Colorado. Her current practice location is
2698 Patterson Rd Ste 100, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 298-2874.
Sophia Julia Jaeckel is licensed to practice in Colorado (license number 0010212) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871348649.
Physician's Profile
Full Name | Sophia Julia Jaeckel |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2698 Patterson Rd Ste 100, Grand Junction, Colorado |
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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: 1871348649
- Provider Enumeration Date: 04/23/2024
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426592064
- Enrollment ID: I20240708000033
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
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 |
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 |
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