Jesse Charles Washburn, DO in Providence, UT

Jesse Charles Washburn, DO is a medicare enrolled "Family Medicine" physician in Providence, Utah. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 190 S Highway 165, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-3300.

Jesse Charles Washburn is licensed to practice in Utah (license number 9021346-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861789356.

Contact Information

	Jesse Charles Washburn, DO
	190 S Highway 165, Providence, UT 84332-9512
	(435) 755-3300
	(435) 755-3332

Map and Direction

Physician's Profile

Full Name	Jesse Charles Washburn
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	190 S Highway 165, Providence, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jesse Charles Washburn graduated from medical school in 2011

NPI Data:

NPI Number: 1861789356
Provider Enumeration Date: 07/05/2011
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7618191743
Enrollment ID: I20140611002304

Medical Identifiers

Medical identifiers for Jesse Charles Washburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861789356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9021346-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Homecare Home Health Logan	Logan, UT	Home health agency
Logan Regional Hospital	Logan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

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. Jesse Charles Washburn allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Charles Washburn 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 Charles Washburn, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Jesse Charles Washburn, DO 190 S Highway 165, Providence, UT 84332-9512 Ph: (435) 755-3300

Reviews and Comments

Family Medicine Doctors in Providence, UT

Dr. Kevin R Duke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300
Thomas H Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901
David Vere Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
James Dennis Mathews, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922

Jesse Charles Washburn, DO - Medicare Family Practice in Providence, UT