Jared Allen Pendergrass, PA-C - Medicare Physician Assistant in Aurora, MO

Jared Allen Pendergrass, PA-C is a medicare enrolled "Physician Assistant" in Aurora, Missouri. His current practice location is 500 Porter Ave, Aurora, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 678-7888.

Jared Allen Pendergrass is licensed to practice in Missouri (license number 2020009814) 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 1780282863.

Contact Information

Jared Allen Pendergrass, PA-C
500 Porter Ave,
Aurora, MO 65605-2365
(417) 678-7888
Not Available



Provider's Profile

Full NameJared Allen Pendergrass
GenderMale
SpecialityPhysician Assistant
Location500 Porter Ave, Aurora, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780282863
  • Provider Enumeration Date: 10/12/2020
  • Last Update Date: 10/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264842533
  • Enrollment ID: I20201028001599

Medical Identifiers

Medical identifiers for Jared Allen Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780282863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2020009814 (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. Jared Allen Pendergrass 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
Jared Allen Pendergrass, PA-C
500 Porter Ave,
Aurora, MO 65605-2365

Ph: (417) 678-7888
Jared Allen Pendergrass, PA-C
500 Porter Ave,
Aurora, MO 65605-2365

Ph: (417) 678-7888

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Physician Assistant Nurses in Aurora, MO

Ms. Maria Minnaar Bailey, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 500 Porter Ave, Aurora, MO 65605
Phone: 417-678-7888    Fax: 407-678-7840
Tiffany Hilton, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 Porter Ave, Aurora, MO 65605
Phone: 417-678-7974    
John Thomas Compton, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    
Mrs. Mileah Colene Hayes, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    
Katelyn Maben, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    
Travis James Bell, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 Porter Ave, Aurora, MO 65605
Phone: 417-678-2122    
Thomas M. Doering, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    Fax: 417-678-0675

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