Dr Jared Wannenwetsch, DC is a
Chiropractor based in Citra, Florida. Dr Jared Wannenwetsch is licensed to practice in Florida (license number CH11534) and his current practice location is
18155 Nw 24th Ave, Citra, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 817-5574.
NPI number for Dr Jared Wannenwetsch is 1245686823 and his current mailing address is 3703 Sw 13th St, Gainesville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245686823.
Healthcare Provider's Profile
| Full Name | Dr Jared Wannenwetsch |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 18155 Nw 24th Ave, Citra, Florida |
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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: 1245686823
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 05/12/2016
Medical Identifiers
Medical identifiers for Dr Jared Wannenwetsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245686823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH11534 (Florida) | 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. Dr Jared Wannenwetsch 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 |
|---|
Dr Jared Wannenwetsch, DC
3703 Sw 13th St,
Gainesville, FL 32608-3507
Ph: (352) 372-4100 | Dr Jared Wannenwetsch, DC
18155 Nw 24th Ave,
Citra, FL 32113-2167
Ph: (352) 817-5574 |
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