Jacob Lamar Pugh, PA-C is a medicare enrolled "Physician Assistant" in Santa Clara, Utah. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aems and his current practice location is
2432 Concord Ave, Santa Clara, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 429-0944.
Jacob Lamar Pugh is licensed to practice in Utah (license number 10959210-1206) 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 1396227146.
Provider's Profile
| Full Name | Jacob Lamar Pugh |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 2432 Concord Ave, Santa Clara, Utah |
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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:
- Jacob Lamar Pugh graduated from nursing school in 2018
NPI Data:
- NPI Number: 1396227146
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 11/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062763790
- Enrollment ID: I20220315001206
Medical Identifiers
Medical identifiers for Jacob Lamar Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396227146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 10959210-1206 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aems | 4789939125 | 7 |
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 Lamar Pugh 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 |
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Jacob Lamar Pugh, PA-C
2432 Concord Ave,
Santa Clara, UT 84765-5621
Ph: (435) 429-0944 | Jacob Lamar Pugh, PA-C
2432 Concord Ave,
Santa Clara, UT 84765-5621
Ph: (435) 429-0944 |
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