Jason Wade Eppler, MD
Individual provider Active NPI Family Medicine Physician · Jackson, TN
NPI 1114977899 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114977899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41038 (TN)
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- Fax
- (731) 423-4919
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Services of Mo LLC
Practice addresses (Care Compare)
2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 348-1200
Hospital & facility affiliations
- Research Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090916000057 | MO | Practitioner - Emergency Medicine |
9537114632 | Reassigns benefits to 2 organizations |
| I20090921000074 | KS | Practitioner - Emergency Medicine | 9537114632 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41038 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Division - LRHC LLC | Current |
Accepting new patients | |
| Emergency Medicine Services of Mo, LLC | Current |
Accepting new patients | |
| Emergency Medicine Services of KS, PA | Current |
Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Washita Emergency Physicians LLC | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Wide Missouri Emergency Physicians LLC | Past | Accepting new patients | |
| Little Blue Emergency Physicians LLC | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients |
Locations
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000
6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
Interoperability endpoints
- jason.eppler@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41038 | TN | Yes |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
12 Hemingway Cove
Jackson, TN 38305
Phone (731) 256-1602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4125102 | Other | TN | BLUE CROSS BLUE SHIELD |
| 37450 | Other | TN | TLC |
| 3811124 | Medicaid | TN |
Other providers in Jackson, TN
- Justin Emmons
- Encare, LLC.
- Suzanna F Endsley
- Stephanie Beth Engelhard
- Jenna England
- John Michael Epps
- Laura Ashley Ermenc
- Luanne Escue
- Kelsey Eskew
- Megan Elise Ethredge
All providers in Jackson, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.