Jerry L Old, MD is a
Physical Medicine & Rehabilitation - Hospice And Palliative Medicine physician based in Lenexa, Kansas. Jerry L Old is licensed to practice in Kansas (license number 04-16260) and his current practice location is 15329 W 95th St, Lenexa, Kansas. He can be reached at his office (for appointments etc.) via phone at
(913) 599-1125.
NPI number for Jerry L Old is 1285731752 and his current mailing address is 15329 W 95th St, Lenexa, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285731752.
Physician's Profile
| Full Name | Jerry L Old |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation - Hospice And Palliative Medicine |
|---|
| Location | 15329 W 95th St, Lenexa, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285731752
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Jerry L Old such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285731752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081H0002X | Physical Medicine & Rehabilitation - Hospice And Palliative Medicine | 04-16260 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 04-16260 (Kansas) | 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. Jerry L Old 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 |
|---|
Jerry L Old, MD
15329 W 95th St,
Lenexa, KS 66219-1262
Ph: (913) 599-1125 | Jerry L Old, MD
15329 W 95th St,
Lenexa, KS 66219-1262
Ph: (913) 599-1125 |
Reviews and Comments