Jared Mudge, PA-C is a medicare enrolled "Physician Assistant - Medical" in Plummer, Idaho. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
Po Box 388, Plummer, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 686-5133.
Jared Mudge is licensed to practice in Idaho (license number 5761672) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1679398929.
Provider's Profile
| Full Name | Jared Mudge |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | Po Box 388, Plummer, Idaho |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jared Mudge graduated from nursing school in 2022
NPI Data:
- NPI Number: 1679398929
- Provider Enumeration Date: 11/21/2024
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527579275
- Enrollment ID: I20250618003133
Medical Identifiers
Medical identifiers for Jared Mudge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679398929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 5761672 (Idaho) | 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. Jared Mudge 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 |
|---|
Jared Mudge, PA-C
200 S Idaho St,
Post Falls, ID 83854-7552
Ph: (208) 686-5133 | Jared Mudge, PA-C
Po Box 388,
Plummer, ID 83851-0388
Ph: (208) 686-5133 |
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