Jeremy Daniel Ross, is a
Licensed Practical Nurse based in Joint Base Lewis-mcchord, Washington. Jeremy Daniel Ross is licensed to practice in Texas (license number 225012) and his current practice location is
11582 C St, Joint Base Lewis-mcchord, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 966-7574.
NPI number for Jeremy Daniel Ross is 1093178006 and his current mailing address is 4720 S Pine St Apt J134, Tacoma, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093178006.
Provider's Profile
Full Name | Jeremy Daniel Ross |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 11582 C St, Joint Base Lewis-mcchord, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093178006
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 03/29/2016
Medical Identifiers
Medical identifiers for Jeremy Daniel Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093178006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 225012 (Texas) | 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. Jeremy Daniel Ross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremy Daniel Ross, 4720 S Pine St Apt J134, Tacoma, WA 98409-6444 Ph: (253) 353-1443 | Jeremy Daniel Ross, 11582 C St, Joint Base Lewis-mcchord, WA 98433 Ph: (253) 966-7574 |
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