Jesse Willard Woods Iii, is a
Private Vehicle based in Philadelphia, Pennsylvania. Jesse Willard Woods Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
1410 N 31st St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 258-3481.
NPI number for Jesse Willard Woods Iii is 1033772405 and his current mailing address is 1410 N 31st St, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033772405.
Healthcare Provider's Profile
| Full Name | Jesse Willard Woods Iii |
|---|
| Gender | Male |
|---|
| Speciality | Private Vehicle |
|---|
| Location | 1410 N 31st St, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033772405
- Provider Enumeration Date: 04/20/2019
- Last Update Date: 04/03/2020
Medical Identifiers
Medical identifiers for Jesse Willard Woods Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033772405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (Pennsylvania) | Secondary |
| 174200000X | Meals | (* (Not Available)) | Secondary |
| 344600000X | Taxi | (* (Not Available)) | Secondary |
| 347E00000X | Transportation Broker | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (* (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. Jesse Willard Woods Iii 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 |
|---|
Jesse Willard Woods Iii,
1410 N 31st St,
Philadelphia, PA 19121-3870
Ph: (215) 258-3481 | Jesse Willard Woods Iii,
1410 N 31st St,
Philadelphia, PA 19121-3870
Ph: (215) 258-3481 |
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