Jake Matthew Webb, PA-C is a
Student In An Organized Health Care Education/training Program based in Indianapolis, Indiana. Jake Matthew Webb is licensed to practice in * (Not Available) (license number ) and his current practice location is
1415 Stadium Way Unit 4202, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 414-4456.
NPI number for Jake Matthew Webb is 1184309189 and his current mailing address is 1415 Stadium Way Unit 4202, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184309189.
Provider's Profile
| Full Name | Jake Matthew Webb |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1415 Stadium Way Unit 4202, Indianapolis, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184309189
- Provider Enumeration Date: 06/16/2023
- Last Update Date: 01/06/2026
Medical Identifiers
Medical identifiers for Jake Matthew Webb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184309189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10005135A (Indiana) | 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. Jake Matthew Webb 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 |
|---|
Jake Matthew Webb, PA-C
1415 Stadium Way Unit 4202,
Indianapolis, IN 46202-2160
Ph: (765) 414-4456 | Jake Matthew Webb, PA-C
1415 Stadium Way Unit 4202,
Indianapolis, IN 46202-2160
Ph: (765) 414-4456 |
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