Jared Medeiros, is a medicare enrolled "Nurse Practitioner - Family" in Lanai City, Hawaii. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lanai Community Health Center and his current practice location is
478 Lauhala Place, Lanai City, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 565-6919.
Jared Medeiros is licensed to practice in Hawaii (license number APRN-1845) 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 1043617103.
Provider's Profile
| Full Name | Jared Medeiros |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 478 Lauhala Place, Lanai City, Hawaii |
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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:
- Jared Medeiros graduated from nursing school in 2014
NPI Data:
- NPI Number: 1043617103
- Provider Enumeration Date: 12/04/2014
- Last Update Date: 12/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 2466773361
- Enrollment ID: I20150603002947
Medical Identifiers
Medical identifiers for Jared Medeiros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043617103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN-1845 (Hawaii) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lanai Community Health Center | 5395828925 | 7 |
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. Jared Medeiros allows following entities to bill medicare on his behalf.
| Entity Name | Lanai Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679754097
PECOS PAC ID: 5395828925
Enrollment ID: O20120629000093 |
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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. Jared Medeiros 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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Jared Medeiros,
Po Box 630142,
Lanai City, HI 96763-0142
Ph: () - | Jared Medeiros,
478 Lauhala Place,
Lanai City, HI 96763
Ph: (808) 565-6919 |
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