Jacob Clifford Pawela, is a medicare enrolled "Physician Assistant" in Montgomery Village, Maryland. His current practice location is
19304 Meaderidge Pl, Montgomery Village, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 943-0874.
Jacob Clifford Pawela is licensed to practice in * (Not Available) (license number ) 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 1285293696.
Provider's Profile
Full Name | Jacob Clifford Pawela |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 19304 Meaderidge Pl, Montgomery Village, Maryland |
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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: 1285293696
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173956349
- Enrollment ID: I20191202000030
Medical Identifiers
Medical identifiers for Jacob Clifford Pawela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285293696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Jacob Clifford Pawela 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 |
Jacob Clifford Pawela, 19304 Meaderidge Pl, Montgomery Village, MD 20886-3929 Ph: (301) 943-0874 | Jacob Clifford Pawela, 19304 Meaderidge Pl, Montgomery Village, MD 20886-3929 Ph: (301) 943-0874 |
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