Jason Andrew Tepper, is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Spanish Fork, Utah. His current practice location is
1642 E Spanish Fork Pkwy Ste 101, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 798-9500.
Jason Andrew Tepper is licensed to practice in Utah (license number 13788895-9924) 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 1619436425.
Healthcare Provider's Profile
| Full Name | Jason Andrew Tepper |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1642 E Spanish Fork Pkwy Ste 101, Spanish Fork, Utah |
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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: 1619436425
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 04/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254668304
- Enrollment ID: I20190812002845
Medical Identifiers
Medical identifiers for Jason Andrew Tepper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619436425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14380 (Minnesota) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13788895-9924 (Utah) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 13788895-9924 (Utah) | 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. Jason Andrew Tepper 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 |
Jason Andrew Tepper, 2191 S Mcclelland St Apt 548, Salt Lake City, UT 84106-4455 Ph: (385) 831-1131 | Jason Andrew Tepper, 1642 E Spanish Fork Pkwy Ste 101, Spanish Fork, UT 84660-1496 Ph: (801) 798-9500 |
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