Jared Katchen, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Leonard Wood, Missouri. His current practice location is
4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(003) 596-0035.
Jared Katchen is licensed to practice in Nebraska (license number 30441) 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 1811355563.
Physician's Profile
Full Name | Jared Katchen |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
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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: 1811355563
- Provider Enumeration Date: 02/09/2016
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759787930
- Enrollment ID: I20210914001437
Medical Identifiers
Medical identifiers for Jared Katchen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811355563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 30441 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 30441 (Nebraska) | 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. Jared Katchen 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 |
Jared Katchen, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (003) 596-0035 | Jared Katchen, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (003) 596-0035 |
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