James G Mruk, DDS is a
Dentist based in Randolph, New York. James G Mruk is licensed to practice in New York (license number 26075) and his current practice location is
11 School St, Randolph, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 358-6001.
NPI number for James G Mruk is 1174623359 and his current mailing address is 11 School St, Randolph, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174623359.
Healthcare Provider's Profile
| Full Name | James G Mruk |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 11 School St, Randolph, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174623359
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for James G Mruk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174623359 | NPI | - | NPPES |
| 00981902 | Medicaid | NY | |
| 000770077001 | Other | NY | CHILD HEALTH CARE PLUS |
| 584157 | Other | NY | UNITED CONCORDIA INS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 26075 (New York) | 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. James G Mruk 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 |
|---|
James G Mruk, DDS
11 School St,
Randolph, NY 14772-1103
Ph: (716) 358-6001 | James G Mruk, DDS
11 School St,
Randolph, NY 14772-1103
Ph: (716) 358-6001 |
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