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Jared Anthony Head

Internal Medicine

Allopathic & Osteopathic Physicians

210 SW Century Dr Apt 524, Bend, OR 97702-3837

PECOS Enrollment

This provider is enrolled in PECOS as JARED HEAD.

Based on the most recent information from CMS, provider Jared Anthony Head is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1366939621
Provider Type
Individual
Full Name
Head, Jared Anthony
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/21/2018
Last Updated
2/11/2026

Contact Information

Practice Location

210 SW Century Dr Apt 524, Bend, OR 97702-3837

(541) 748-3879

(541) 581-8046

Mailing Location

210 SW Century Dr Apt 524, Bend, OR 97702-3837

(541) 748-3879

(541) 581-8046

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD227950 Oregon
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 94158 South Carolina
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 63339 Arizona

Jared Anthony Head

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Christensen, Jeness Marie

Lemee, Madeline T

Little, Joshua James

Ponderosa Medical

Ehg Of Oregon Pc

Dawson, Sarah Elizabeth

Kinney, Robert

Ehg Of Oregon Pc

Day, Carolyn K

Lee, Gilbert B.