Dr Jason Kyle Keophaphone, DO - Medicare Family Medicine in Jefferson City, MO

Dr Jason Kyle Keophaphone, DO is a medicare enrolled "Family Medicine" physician in Jefferson City, Missouri. His current practice location is 1125 Madison Street, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 679-0493.

Dr Jason Kyle Keophaphone is licensed to practice in Missouri (license number 2019022920) 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 1124689518.

Contact Information

Dr Jason Kyle Keophaphone, DO
1125 Madison Street,
Jefferson City, MO 65101-5227
(816) 679-0493
Not Available



Physician's Profile

Full NameDr Jason Kyle Keophaphone
GenderMale
SpecialityFamily Medicine
Location1125 Madison Street, Jefferson City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124689518
  • Provider Enumeration Date: 06/26/2019
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709204316
  • Enrollment ID: I20200915000247

Medical Identifiers

Medical identifiers for Dr Jason Kyle Keophaphone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124689518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2019022920 (Missouri)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. Dr Jason Kyle Keophaphone 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
Dr Jason Kyle Keophaphone, DO
1125 Madison Street,
Jefferson City, MO 65101-5227

Ph: (816) 679-0493
Dr Jason Kyle Keophaphone, DO
1125 Madison Street,
Jefferson City, MO 65101-5227

Ph: (816) 679-0493

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› Verified 8 days ago


Family Medicine Doctors in Jefferson City, MO

Todd D Mccluskey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109
Phone: 573-893-7848    Fax: 573-893-1984
Craig Alan Luetkemeyer, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1014 Madison St, Jefferson City, MO 65101
Phone: 573-644-6999    Fax: 573-644-7880
Dr. Michael G. Steenbergen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-634-7423
Dr. James J. Weiss, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-634-7423
Lorrie L Campbell, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Madison St, Jefferson City, MO 65101
Phone: 573-644-6999    Fax: 573-644-7880
Dr. Douglas N. Smith, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109
Phone: 573-893-7848    Fax: 573-893-1984
Michael Peter Dudenhoeffer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 E High St, Jefferson City, MO 65101
Phone: 573-635-2211    Fax: 573-636-9350

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