Jason Tai Kreider, NP is a medicare enrolled "Nurse Practitioner" in Playa Del Rey, California. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice West Coast Wound And Skin Care Inc and his current practice location is
7741 Saint Bernard St Apt 2, Playa Del Rey, California. You can reach out to his office (for appointments etc.) via phone at
(858) 245-6645.
Jason Tai Kreider is licensed to practice in California (license number 95014032) 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 1063034601.
Provider's Profile
| Full Name | Jason Tai Kreider |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 7741 Saint Bernard St Apt 2, Playa Del Rey, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jason Tai Kreider graduated from nursing school in 2019
NPI Data:
- NPI Number: 1063034601
- Provider Enumeration Date: 05/16/2020
- Last Update Date: 05/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587084876
- Enrollment ID: I20201027001204
Medical Identifiers
Medical identifiers for Jason Tai Kreider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063034601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 95014032 (California) | Primary |
| 363L00000X | Nurse Practitioner | 241073 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Coast Wound And Skin Care Inc | 7315212834 | 21 |
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. Jason Tai Kreider allows following entities to bill medicare on his behalf.
| Entity Name | West Coast Wound And Skin Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437675980
PECOS PAC ID: 7315212834
Enrollment ID: O20171010002105 |
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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 Tai Kreider 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 |
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Jason Tai Kreider, NP
7741 Saint Bernard St Apt 2,
Playa Del Rey, CA 90293-8318
Ph: (858) 245-6645 | Jason Tai Kreider, NP
7741 Saint Bernard St Apt 2,
Playa Del Rey, CA 90293-8318
Ph: (858) 245-6645 |
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