Jeremiah Earl, is a medicare enrolled "General Practice" physician in Trinity, Florida. His current practice location is
9330 State Road 54, Trinity, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 834-4000.
Jeremiah Earl is licensed to practice in Florida (license number OS22689) 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 1023877610.
Physician's Profile
Full Name | Jeremiah Earl |
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Gender | Male |
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Speciality | General Practice |
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Location | 9330 State Road 54, Trinity, Florida |
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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: 1023877610
- Provider Enumeration Date: 03/15/2024
- Last Update Date: 09/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830530773
- Enrollment ID: I20240509002856
Medical Identifiers
Medical identifiers for Jeremiah Earl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023877610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | OS22689 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jeremiah Earl 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 |
Jeremiah Earl, 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4000 | Jeremiah Earl, 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4000 |
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