Mr Jonathan David Erpenbach, MD in Jacksonville, FL

Mr Jonathan David Erpenbach, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jacksonville, Florida. His current practice location is Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (202) 762-3194.

Mr Jonathan David Erpenbach is licensed to practice in Indiana (license number 01062572A) 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 1598861650.

Contact Information

	Mr Jonathan David Erpenbach, MD
	Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140
	(202) 762-3194
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Jonathan David Erpenbach
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	Bldg. H 2005 Knight Lane, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598861650
Provider Enumeration Date: 09/16/2006
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6305083379
Enrollment ID: I20130510000338

Medical Identifiers

Medical identifiers for Mr Jonathan David Erpenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598861650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	01062572A (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	01062572A (Indiana)	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. Mr Jonathan David Erpenbach 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
Mr Jonathan David Erpenbach, MD Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 Ph: (202) 762-3194	Mr Jonathan David Erpenbach, MD Bldg. H 2005 Knight Lane, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 Ph: (202) 762-3194

Reviews and Comments

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Mr Jonathan David Erpenbach, MD - Medicare Radiology in Jacksonville, FL