Dr Jesse Clement Woodall Iv, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lexington, Kentucky. His current practice location is
800 Rose St, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 257-1000.
Dr Jesse Clement Woodall Iv is licensed to practice in * (Not Available) (license number ) 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 1609561711.
Physician's Profile
| Full Name | Dr Jesse Clement Woodall Iv |
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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 | 800 Rose St, Lexington, Kentucky |
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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: 1609561711
- Provider Enumeration Date: 04/06/2023
- Last Update Date: 06/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 1052765948
- Enrollment ID: I20230926003582
Medical Identifiers
Medical identifiers for Dr Jesse Clement Woodall Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609561711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 06336 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Jesse Clement Woodall Iv 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 Jesse Clement Woodall Iv, DO 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-2636 | Dr Jesse Clement Woodall Iv, DO 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 257-1000 |
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