Jessica Pathrose, DO is a
Student In An Organized Health Care Education/training Program physician based in Williamsville, New York. Jessica Pathrose is licensed to practice in * (Not Available) (license number ) and her current practice location is 1800 Maple Rd Ste 100, Williamsville, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 636-5437.
NPI number for Jessica Pathrose is 1669095477 and her current mailing address is 31 Fargo Ave Lowr Front, Buffalo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669095477.
Physician's Profile
Full Name | Jessica Pathrose |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1800 Maple Rd Ste 100, Williamsville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669095477
- Provider Enumeration Date: 05/27/2020
- Last Update Date: 01/16/2024
Medical Identifiers
Medical identifiers for Jessica Pathrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669095477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 323640 (New York) | 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 Pathrose 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 Pathrose, DO 31 Fargo Ave Lowr Front, Buffalo, NY 14201-1768 Ph: (214) 957-3060 | Jessica Pathrose, DO 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 Ph: (716) 636-5437 |
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