Jason Gerard Jedlicka, OD - Medicare Optometrist in Bloomington, IN

Jason Gerard Jedlicka, OD is a medicare enrolled "Optometrist" provider in Bloomington, Indiana. He went to Pennsylvania College Of Optometry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Indiana University and his current practice location is 744 E 3rd St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 855-8436.

Jason Gerard Jedlicka is licensed to practice in Indiana (license number 18003875) 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 1669484622.

Contact Information

Jason Gerard Jedlicka, OD
744 E 3rd St,
Bloomington, IN 47405-3603
(812) 855-8436
(812) 855-1683

Map and Direction




Healthcare Provider's Profile

Full NameJason Gerard Jedlicka
GenderMale
SpecialityOptometry
Experience28 Years
Location744 E 3rd St, Bloomington, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Gerard Jedlicka attended and graduated from Pennsylvania College Of Optometry in 1996
  NPI Data:
  • NPI Number: 1669484622
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 10/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2062462211
  • Enrollment ID: I20141016001874

Medical Identifiers

Medical identifiers for Jason Gerard Jedlicka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669484622NPI-NPPES
638817500MedicaidMN
201259190MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2631 (Minnesota)Secondary
152W00000XOptometrist 18003875 (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University600280695762

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 Gerard Jedlicka allows following entities to bill medicare on his behalf.
Provider NameIndiana University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497799787
PECOS PAC ID: 6002806957
Enrollment ID: O20040513001109

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 Gerard Jedlicka 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 AddressPractice Location Address
Jason Gerard Jedlicka, OD
830 Dakota Pt,
Jordan, MN 55352-1441

Ph: (952) 492-3135
Jason Gerard Jedlicka, OD
744 E 3rd St,
Bloomington, IN 47405-3603

Ph: (812) 855-8436

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.