Jacob Hogan, is a
Licensed Practical Nurse based in Shipshewana, Indiana. Jacob Hogan is licensed to practice in Michigan (license number 4703112739) and his current practice location is
6520 W 700 N, Shipshewana, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 350-5018.
NPI number for Jacob Hogan is 1235024639 and his current mailing address is 6520 W 700 N, Shipshewana, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235024639.
Provider's Profile
Full Name | Jacob Hogan |
---|
Gender | Male |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 6520 W 700 N, Shipshewana, Indiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235024639
- Provider Enumeration Date: 06/09/2025
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Jacob Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235024639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703112739 (Michigan) | 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. Jacob Hogan 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 |
Jacob Hogan, 6520 W 700 N, Shipshewana, IN 46565-8505 Ph: (260) 350-5018 | Jacob Hogan, 6520 W 700 N, Shipshewana, IN 46565-8505 Ph: (260) 350-5018 |
Reviews and Comments