Jonathan A Dereszynski, is a
Behavior Technician based in Essexville, Michigan. Jonathan A Dereszynski is licensed to practice in * (Not Available) (license number ) and his current practice location is
1491 N Wagner Rd, Essexville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(623) 695-3464.
NPI number for Jonathan A Dereszynski is 1346758802 and his current mailing address is 1491 N Wagner Rd, Essexville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346758802.
Healthcare Provider's Profile
Full Name | Jonathan A Dereszynski |
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Gender | Male |
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Speciality | Behavior Technician |
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Location | 1491 N Wagner Rd, Essexville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346758802
- Provider Enumeration Date: 01/18/2018
- Last Update Date: 10/04/2018
Medical Identifiers
Medical identifiers for Jonathan A Dereszynski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346758802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M998794 (Michigan) | Secondary |
106S00000X | Behavior Technician | (* (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. Jonathan A Dereszynski 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 |
Jonathan A Dereszynski, 1491 N Wagner Rd, Essexville, MI 48732-9698 Ph: (623) 695-3464 | Jonathan A Dereszynski, 1491 N Wagner Rd, Essexville, MI 48732 Ph: (623) 695-3464 |
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