Jared Vanderpohl, PA-C is a medicare enrolled "Physician Assistant" in Citrus Springs, Florida. His current practice location is
10489 N Florida Ave, Citrus Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 489-2486.
Jared Vanderpohl is licensed to practice in * (Not Available) (license number ) 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 1619546561.
Provider's Profile
| Full Name | Jared Vanderpohl |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 10489 N Florida Ave, Citrus Springs, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619546561
- Provider Enumeration Date: 06/23/2021
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779986344
- Enrollment ID: I20210721000420
Medical Identifiers
Medical identifiers for Jared Vanderpohl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619546561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (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. Jared Vanderpohl 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 Vanderpohl, PA-C 1595 W Spring Meadow Loop, Lecanto, FL 34461-7681 Ph: (513) 658-0018 | Jared Vanderpohl, PA-C 10489 N Florida Ave, Citrus Springs, FL 34434-3268 Ph: (352) 489-2486 |
Reviews and Comments