Individual ProviderJared YoungInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address500 S Preston St Rm 305, Louisville, KY 40202-1702(502) 852-8696PECOS EnrollmentBased on the most recent information from CMS, provider Jared Young is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1417510918Provider TypeIndividualFull NameYoung, JaredCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/19/2019Last Updated3/19/2025Contact InformationPractice LocationPractice Address500 S Preston St Rm 305, Louisville, KY 40202-1702Phone(502) 852-8696FaxUnlisted FaxMailing LocationMailing Address550 S Jackson St, Louisville, KY 40202-1622Phone(502) 852-8696FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense60187Kentucky