Jason Trevor Queen, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Lafayette, Indiana. He graduated from nursing school in 2025 and has 0 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
5165 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 448-8000.
Jason Trevor Queen is licensed to practice in * (Not Available) (license number ) 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 1184518854.
Provider's Profile
| Full Name | Jason Trevor Queen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 0 Years |
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| Location | 5165 Mccarty Ln, Lafayette, Indiana |
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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:
- Jason Trevor Queen graduated from nursing school in 2025
NPI Data:
- NPI Number: 1184518854
- Provider Enumeration Date: 06/05/2025
- Last Update Date: 11/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365950847
- Enrollment ID: I20250805002906
Medical Identifiers
Medical identifiers for Jason Trevor Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184518854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 10004870A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jason Trevor Queen 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 Trevor Queen, PA-C
3848 Constitution Dr,
Carmel, IN 46032-9350
Ph: (618) 960-6625 | Jason Trevor Queen, PA-C
5165 Mccarty Ln,
Lafayette, IN 47905-8764
Ph: (765) 448-8000 |
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