Jared Toller, - Medicare Physician Assistant in Henderson, NV

Jared Toller, is a medicare enrolled "Physician Assistant - Medical" in Henderson, Nevada. His current practice location is 93 Moon Hill Dr, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at (818) 825-1733.

Jared Toller is licensed to practice in Nevada (license number PA2770) 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 1396341293.

Contact Information

Jared Toller,
93 Moon Hill Dr,
Henderson, NV 89011-3799
(818) 825-1733
Not Available



Provider's Profile

Full NameJared Toller
GenderMale
SpecialityPhysician Assistant - Medical
Location93 Moon Hill Dr, Henderson, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396341293
  • Provider Enumeration Date: 12/07/2020
  • Last Update Date: 05/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799143434
  • Enrollment ID: I20230628000552

Medical Identifiers

Medical identifiers for Jared Toller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396341293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 59134 (California)Secondary
363AM0700XPhysician Assistant - Medical 13382949-1206 (Utah)Secondary
363AM0700XPhysician Assistant - Medical PA2770 (Nevada)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 Toller 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 Toller,
93 Moon Hill Dr,
Henderson, NV 89011-3799

Ph: (818) 825-1733
Jared Toller,
93 Moon Hill Dr,
Henderson, NV 89011-3799

Ph: (818) 825-1733

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Physician Assistant Nurses in Henderson, NV

Douglas Trent Young, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2845 Siena Heights Dr, Henderson, NV 89052
Phone: 702-617-1227    Fax: 702-492-1589
Mr. Robert A Shapiro, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2350 W Horizon Ridge Pkwy, Henderson, NV 89052
Phone: 702-564-8556    Fax: 702-564-4485
Dr. John Earl Padgett, PA-C, PHD
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 874 American Pacific Dr, Henderson, NV 89014
Phone: 702-777-1766    Fax: 702-777-1768
Mrs. Janice Luanne Sandoval, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052
Phone: 702-616-5600    
Rachel Tennis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 N Pecos Rd Ste B, Henderson, NV 89074
Phone: 702-202-2700    
Ms. Yana Jacks, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10001 S Eastern Ave Ste 310, Henderson, NV 89052
Phone: 702-914-2420    
Logan K Sussman,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 880 Seven Hills Dr Ste 260, Henderson, NV 89052
Phone: 702-990-4800    Fax: 702-990-4808

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