Jason Prater, DO, PA-C is a
Emergency Medicine based in Grundy, Virginia. Jason Prater is licensed to practice in Virginia (license number 0102208424) and his current practice location is
1535 Slate Creek Rd, Grundy, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 935-1000.
NPI number for Jason Prater is 1649719014 and his current mailing address is 1039 Panorama Dr, Abingdon, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649719014.
Provider's Profile
| Full Name | Jason Prater |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1535 Slate Creek Rd, Grundy, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649719014
- Provider Enumeration Date: 02/18/2017
- Last Update Date: 06/26/2025
Medical Identifiers
Medical identifiers for Jason Prater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649719014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0010-07092 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 0102208424 (Virginia) | 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. Jason Prater 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 |
|---|
Jason Prater, DO, PA-C
1039 Panorama Dr,
Abingdon, VA 24210-4101
Ph: () - | Jason Prater, DO, PA-C
1535 Slate Creek Rd,
Grundy, VA 24614-6974
Ph: (276) 935-1000 |
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