Jack Dorsey O'connor, MS, PMHNP is a medicare enrolled "Counselor - Mental Health" in Rochester, New York. current practice location is
81 Lake Ave, Rochester, New York. You can reach out to office (for appointments etc.) via phone at
(585) 368-6900.
Jack Dorsey O'connor is licensed to practice in * (Not Available) (license number ) and also participates in the medicare program.
accepts medicare assignments (which means accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and NPI Number is 1962016071.
Provider's Profile
Full Name | Jack Dorsey O'connor |
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Gender | |
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Speciality | |
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Experience | Years |
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Location | 81 Lake Ave, Rochester, New York |
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Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jack Dorsey O'connor attended and graduated from in
NPI Data:
- NPI Number: 1962016071
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jack Dorsey O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962016071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402984 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | (* (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. Jack Dorsey O'connor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack Dorsey O'connor, MS, PMHNP 81 Lake Ave, Rochester, NY 14608-1410 Ph: (585) 368-6900 | Jack Dorsey O'connor, MS, PMHNP 81 Lake Ave, Rochester, NY 14608-1410 Ph: (585) 368-6900 |
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