Jason W Jorgensen, PA-C is a medicare enrolled "Physician Assistant" in Ephraim, Utah. His current practice location is
525 N Main St, Ephraim, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 283-4076.
Jason W Jorgensen is licensed to practice in Utah (license number 10528188-1206) 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 1366953754.
Provider's Profile
Full Name | Jason W Jorgensen |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 525 N Main St, Ephraim, Utah |
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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: 1366953754
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 10/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 7416216379
- Enrollment ID: I20180122003266
Medical Identifiers
Medical identifiers for Jason W Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366953754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10528188-1206 (Utah) | 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. Jason W Jorgensen 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 |
Jason W Jorgensen, PA-C 561 N 2400 W, Provo, UT 84601-7268 Ph: (435) 469-1364 | Jason W Jorgensen, PA-C 525 N Main St, Ephraim, UT 84627-1155 Ph: (435) 283-4076 |
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