Jesse Bashor, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Overland Park, Kansas. His current practice location is
10601 Quivira Rd Ste 200, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 541-3340.
Jesse Bashor 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 1063161339.
Physician's Profile
Full Name | Jesse Bashor |
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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 | 10601 Quivira Rd Ste 200, Overland Park, Kansas |
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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: 1063161339
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527449727
- Enrollment ID: I20220719003674
Medical Identifiers
Medical identifiers for Jesse Bashor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063161339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 94-11208 (Kansas) | 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. Jesse Bashor 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 |
Jesse Bashor, DO 10601 Quivira Rd Ste 200, Overland Park, KS 66215-2320 Ph: (913) 541-3340 | Jesse Bashor, DO 10601 Quivira Rd Ste 200, Overland Park, KS 66215-2320 Ph: (913) 541-3340 |
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