Jonathan Kirk Vashaw, DO is a medicare enrolled "Emergency Medicine" in Springfield, Missouri. His current practice location is
3801 S National Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 269-6583.
Jonathan Kirk Vashaw is licensed to practice in Missouri (license number 2018011405) 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 1982752085.
Provider's Profile
| Full Name | Jonathan Kirk Vashaw |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 3801 S National Ave, Springfield, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982752085
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 05/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365707692
- Enrollment ID: I20180607000756
Medical Identifiers
Medical identifiers for Jonathan Kirk Vashaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982752085 | NPI | - | NPPES |
| 200058646 | Medicaid | MO | |
| 1982752085 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2012006657 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | R2549 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 2018011405 (Missouri) | Primary |
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. Jonathan Kirk Vashaw allows following entities to bill medicare on his behalf.
| Entity Name | Cox-monett Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669687125
PECOS PAC ID: 0345236667
Enrollment ID: O20040521000080 |
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| Entity Name | Lester E Cox Medical Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538334396
PECOS PAC ID: 1254248917
Enrollment ID: O20050624000293 |
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| Entity Name | Lester E Cox Medical Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760405864
PECOS PAC ID: 8628092897
Enrollment ID: O20060116000342 |
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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. Jonathan Kirk Vashaw 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 |
|---|
Jonathan Kirk Vashaw, DO
Po Box 9007,
Springfield, MO 65808-9007
Ph: (417) 269-6583 | Jonathan Kirk Vashaw, DO
3801 S National Ave,
Springfield, MO 65807
Ph: (417) 269-6583 |
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