Jershon Evan Varble, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in South Weber, Utah. His current practice location is
2572 E South Weber Dr Ste 5, South Weber, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 479-7045.
Jershon Evan Varble is licensed to practice in Utah (license number 12775190-8016) 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 1821736802.
Physician's Profile
| Full Name | Jershon Evan Varble |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2572 E South Weber Dr Ste 5, South Weber, Utah |
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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: 1821736802
- Provider Enumeration Date: 05/20/2022
- Last Update Date: 05/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587174966
- Enrollment ID: I20250605004108
Medical Identifiers
Medical identifiers for Jershon Evan Varble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821736802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 12775190-8016 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jershon Evan Varble allows following entities to bill medicare on his behalf.
| Entity Name | Mountain Land Rehabilitation Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1265549372
PECOS PAC ID: 9234048745
Enrollment ID: O20220401002028 |
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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. Jershon Evan Varble 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 |
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Jershon Evan Varble,
311 E 1500 N,
Harrisville, UT 84404-7727
Ph: (801) 644-5501 | Jershon Evan Varble,
2572 E South Weber Dr Ste 5,
South Weber, UT 84405-9550
Ph: (801) 479-7045 |
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