Dr Jeremy Alan Caudill, DO is a medicare enrolled "Surgery" physician in Saint Augustine, Florida. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. His current practice location is
2460 Old Moultrie Rd Ste 3, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 797-6627.
Dr Jeremy Alan Caudill is licensed to practice in Florida (license number OS10861) 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 1265650295.
Physician's Profile
| Full Name | Dr Jeremy Alan Caudill |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 19 Years |
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| Location | 2460 Old Moultrie Rd Ste 3, Saint Augustine, Florida |
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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:
- Dr Jeremy Alan Caudill attended and graduated from Ohio University, College Of Osteopathic Medicine in 2005
NPI Data:
- NPI Number: 1265650295
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 1456476746
- Enrollment ID: I20100909000770
Medical Identifiers
Medical identifiers for Dr Jeremy Alan Caudill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265650295 | NPI | - | NPPES |
| 003413200 | Medicaid | FL | |
| 002389800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | OS10861 (Florida) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jeremy Alan Caudill allows following entities to bill medicare on his behalf.
| Entity Name | Jeremy Caudill Do |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437684032
PECOS PAC ID: 8527337146
Enrollment ID: O20170712003568 |
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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. Dr Jeremy Alan Caudill 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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Dr Jeremy Alan Caudill, DO
2460 Old Moultrie Rd Ste 3,
Saint Augustine, FL 32086-4198
Ph: (904) 797-6627 | Dr Jeremy Alan Caudill, DO
2460 Old Moultrie Rd Ste 3,
Saint Augustine, FL 32086-4198
Ph: (904) 797-6627 |
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