Jeremy Queen, - Medicare Physician Assistant in Dayton, OH

Jeremy Queen, is a medicare enrolled "Physician Assistant" in Dayton, Ohio. His current practice location is 425 W Grand Ave Ste 3003, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 294-3628.

Jeremy Queen is licensed to practice in Ohio (license number 1177469) 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 1063132702.

Contact Information

Jeremy Queen,
425 W Grand Ave Ste 3003,
Dayton, OH 45405-4722
(937) 294-3628
Not Available



Provider's Profile

Full NameJeremy Queen
GenderMale
SpecialityPhysician Assistant
Location425 W Grand Ave Ste 3003, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063132702
  • Provider Enumeration Date: 09/01/2022
  • Last Update Date: 12/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557730280
  • Enrollment ID: I20221219002642

Medical Identifiers

Medical identifiers for Jeremy Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063132702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1177469 (Ohio)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. Jeremy Queen 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
Jeremy Queen,
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1310
Jeremy Queen,
425 W Grand Ave Ste 3003,
Dayton, OH 45405-4722

Ph: (937) 294-3628

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Physician Assistant Nurses in Dayton, OH

Nicole Lynne-bendt Scott,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3600    Fax: 937-641-5802
Cody Mcmillan,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3000    
Annemarie Rose Underwood, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Dayton, OH 45429
Phone: 937-395-8166    
Mr. Douglas W Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Elizabeth Pl, 4th Floor, Dayton, OH 45408
Phone: 937-221-7001    Fax: 937-224-5307
Kathleen A. Rowell, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    
Jessica Lynn Galli Robertson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409
Phone: 937-208-4200    Fax: 937-208-4205
Caroline Mccomb, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4160 Little York Rd Ste 10, Dayton, OH 45414
Phone: 937-415-9100    

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