Jessica Dodd Custer, is a
Student In An Organized Health Care Education/training Program based in Sarasota, Florida. Jessica Dodd Custer is licensed to practice in * (Not Available) (license number ) and her current practice location is
4071 Bee Ridge Rd Ste 204, Sarasota, Florida. She can be reached at her office (for appointments etc.) via phone at
(208) 841-0490.
NPI number for Jessica Dodd Custer is 1053047019 and her current mailing address is 8309 Misty Lake Cir, Sarasota, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053047019.
Healthcare Provider's Profile
| Full Name | Jessica Dodd Custer |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4071 Bee Ridge Rd Ste 204, Sarasota, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053047019
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 08/01/2022
Medical Identifiers
Medical identifiers for Jessica Dodd Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053047019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jessica Dodd Custer 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 |
|---|
Jessica Dodd Custer,
8309 Misty Lake Cir,
Sarasota, FL 34241-8502
Ph: (208) 841-0490 | Jessica Dodd Custer,
4071 Bee Ridge Rd Ste 204,
Sarasota, FL 34233-2542
Ph: (208) 841-0490 |
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