Mr Jack Edward Levine, MD is a
Radiology - Diagnostic Radiology physician based in Chappaqua, New York. Mr Jack Edward Levine is licensed to practice in New York (license number 106392) and his current practice location is 6 Nancy Lane, Chappaqua, New York. He can be reached at his office (for appointments etc.) via phone at
(914) 238-6247.
NPI number for Mr Jack Edward Levine is 1336377654 and his current mailing address is 6 Nancy Lane, Chappaqua, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336377654.
Physician's Profile
Full Name | Mr Jack Edward Levine |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 6 Nancy Lane, Chappaqua, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336377654
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 06/25/2009
Medical Identifiers
Medical identifiers for Mr Jack Edward Levine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336377654 | NPI | - | NPPES |
00644720 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 106392 (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. Mr Jack Edward Levine 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 |
Mr Jack Edward Levine, MD 6 Nancy Lane, Chappaqua, NY 10514-2111 Ph: (914) 238-6247 | Mr Jack Edward Levine, MD 6 Nancy Lane, Chappaqua, NY 10514-2111 Ph: (914) 238-6247 |
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