Jason M Bursach, is a
Behavior Technician based in Tallmadge, Ohio. Jason M Bursach is licensed to practice in * (Not Available) (license number ) and his current practice location is
30 Northwest Ave Ste 120, Tallmadge, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 633-4187.
NPI number for Jason M Bursach is 1861157299 and his current mailing address is 5447 Hampton Pl, Saginaw, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861157299.
Healthcare Provider's Profile
| Full Name | Jason M Bursach |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 30 Northwest Ave Ste 120, Tallmadge, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861157299
- Provider Enumeration Date: 11/01/2021
- Last Update Date: 10/31/2023
Medical Identifiers
Medical identifiers for Jason M Bursach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861157299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Jason M Bursach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jason M Bursach,
5447 Hampton Pl,
Saginaw, MI 48604-9284
Ph: () - | Jason M Bursach,
30 Northwest Ave Ste 120,
Tallmadge, OH 44278-1808
Ph: (330) 633-4187 |
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