Jorge L Caballero, PA is a
Physician Assistant based in Dupont, Washington. Jorge L Caballero is licensed to practice in Washington (license number PA10005144) and his current practice location is
1460 Edgar St, Dupont, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 302-4818.
NPI number for Jorge L Caballero is 1134270663 and his current mailing address is 1460 Edgar St, Dupont, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134270663.
Provider's Profile
| Full Name | Jorge L Caballero |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1460 Edgar St, Dupont, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134270663
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jorge L Caballero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134270663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA10005144 (Washington) | 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. Jorge L Caballero 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 |
|---|
Jorge L Caballero, PA
1460 Edgar St,
Dupont, WA 98327-8783
Ph: (253) 302-4818 | Jorge L Caballero, PA
1460 Edgar St,
Dupont, WA 98327-8783
Ph: (253) 302-4818 |
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