Mrs Jennifer Derecola, LMT is a
Massage Therapist based in Fleetwood, Pennsylvania. Mrs Jennifer Derecola is licensed to practice in * (Not Available) (license number ) and her current practice location is
14128 Kutztown Rd., Fleetwood, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 944-9647.
NPI number for Mrs Jennifer Derecola is 1821388042 and her current mailing address is 6 Hearthstone Ct., 200, Reading, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821388042.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Derecola |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 14128 Kutztown Rd., Fleetwood, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821388042
- Provider Enumeration Date: 04/08/2011
- Last Update Date: 04/08/2011
Medical Identifiers
Medical identifiers for Mrs Jennifer Derecola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821388042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (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. Mrs Jennifer Derecola 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 |
Mrs Jennifer Derecola, LMT 6 Hearthstone Ct., 200, Reading, PA 19606 Ph: (610) 685-1761 | Mrs Jennifer Derecola, LMT 14128 Kutztown Rd., Fleetwood, PA 19522 Ph: (610) 944-9647 |
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