Dr Jeffrey Alan Vernon, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cincinnati, Ohio. His current practice location is
234 Goodman Street, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 558-0119.
Dr Jeffrey Alan Vernon is licensed to practice in Ohio (license number 34.015473) 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 1376786004.
Physician's Profile
| Full Name | Dr Jeffrey Alan Vernon |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 234 Goodman Street, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376786004
- Provider Enumeration Date: 04/10/2009
- Last Update Date: 06/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052447109
- Enrollment ID: I20250422000364
Medical Identifiers
Medical identifiers for Dr Jeffrey Alan Vernon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376786004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 252671 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 34.015473 (Ohio) | 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 Jeffrey Alan Vernon 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 |
|---|
Dr Jeffrey Alan Vernon, DO
1 W 4th St Apt 1406,
Cincinnati, OH 45202-3856
Ph: (917) 725-0762 | Dr Jeffrey Alan Vernon, DO
234 Goodman Street,
Cincinnati, OH 45219-0796
Ph: (513) 558-0119 |
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