| Jared Allen Pendergrass, PA-C | |
|
500 Porter Ave, Aurora, MO 65605-2365 | |
| (417) 678-7888 | |
| Not Available |
| Full Name | Jared Allen Pendergrass |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 500 Porter Ave, Aurora, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780282863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2020009814 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Allen Pendergrass, PA-C 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7888 | Jared Allen Pendergrass, PA-C 500 Porter Ave, Aurora, MO 65605-2365 Ph: (417) 678-7888 |
Ms. Maria Minnaar Bailey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-7888 Fax: 407-678-7840 | |
Tiffany Hilton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-7974 | |
John Thomas Compton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 S Hudson Ave, Aurora, MO 65605 Phone: 417-678-5176 | |
Mrs. Mileah Colene Hayes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 S Hudson Ave, Aurora, MO 65605 Phone: 417-678-5176 | |
Katelyn Maben, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 S Hudson Ave, Aurora, MO 65605 Phone: 417-678-5176 | |
Travis James Bell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Porter Ave, Aurora, MO 65605 Phone: 417-678-2122 | |
Thomas M. Doering, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 S Hudson Ave, Aurora, MO 65605 Phone: 417-678-5176 Fax: 417-678-0675 |