Jacob Mcclendon, DO in Gainesville, FL - Medicare Student in an Organized Health Care Education/Training Program

Jacob Mcclendon, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. His current practice location is 1147 Nw 64th Ter, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 333-5168.

Jacob Mcclendon is licensed to practice in Florida (license number OS16271) 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 1144724105.

Contact Information

	Jacob Mcclendon, DO
	1147 Nw 64th Ter, Gainesville, FL 32605-4218
	(352) 333-5168
	Not Available

Physician's Profile

Full Name	Jacob Mcclendon
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1147 Nw 64th Ter, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144724105
Provider Enumeration Date: 03/22/2018
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1759630718
Enrollment ID: I20180823003116

Medical Identifiers

Medical identifiers for Jacob Mcclendon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144724105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	OS16271 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	OS16271 (Florida)	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. Jacob Mcclendon 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
Jacob Mcclendon, DO 250 Walnut Cv, Dawsonville, GA 30534-6994 Ph: (770) 871-8203	Jacob Mcclendon, DO 1147 Nw 64th Ter, Gainesville, FL 32605-4218 Ph: (352) 333-5168

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Jacob Mcclendon, DO - Medicare Student in an Organized Health Care Education/Training Program in Gainesville, FL