Jared A Destackelberg, PA - Medicare Physician Assistant in Ocala, FL

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Jared A Destackelberg, PA is a medicare enrolled "Physician Assistant" in Ocala, Florida. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Smh Physician Services Inc, Neurosurgery And Spine Specialists and his current practice location is 1901 Se 18th Ave, Ste 101, Ocala, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 622-3360.

Jared A Destackelberg is licensed to practice in Florida (license number PAT 9105672) 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 1104136399.

Contact Information

Jared A Destackelberg, PA
1901 Se 18th Ave, Ste 101,
Ocala, FL 34471-8215
(352) 622-3360
(352) 671-3269

Map and Direction




Provider's Profile

Full NameJared A Destackelberg
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location1901 Se 18th Ave, Ocala, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jared A Destackelberg graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1104136399
  • Provider Enumeration Date: 10/21/2010
  • Last Update Date: 10/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9830384965
  • Enrollment ID: I20101115000378

Medical Identifiers

Medical identifiers for Jared A Destackelberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104136399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PAT 9105672 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarasota Memorial HospitalSarasota, FLHospital
Sarasota Memorial Hospital - VeniceNorth venice, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smh Physician Services Inc1355240177781
Neurosurgery And Spine Specialists266843478810

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. Jared A Destackelberg allows following entities to bill medicare on his behalf.
Entity NameSmh Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346295292
PECOS PAC ID: 1355240177
Enrollment ID: O20031231000211
Entity NameNeurosurgery & Spine Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033299441
PECOS PAC ID: 2668434788
Enrollment ID: O20041101000939

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. Jared A Destackelberg 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 AddressPractice Location Address
Jared A Destackelberg, PA
1901 Se 18th Ave, Ste 101,
Ocala, FL 34471-8215

Ph: (352) 622-3360		Jared A Destackelberg, PA
1901 Se 18th Ave, Ste 101,
Ocala, FL 34471-8215

Ph: (352) 622-3360

Reviews and Comments


Physician Assistant Nurses in Ocala, FL

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Ms. Mckenzie Layne Manresa, PA-C
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Practice Location: 4600 Sw 46th Ct Ste 150, Ocala, FL 34474
Phone: 352-369-5999    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.