Jacob Tyler Balken, is a
Student In An Organized Health Care Education/training Program based in Miami Shores, Florida. Jacob Tyler Balken is licensed to practice in * (Not Available) (license number ) and his current practice location is
11300 Ne 2nd Ave, Miami Shores, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 899-3000.
NPI number for Jacob Tyler Balken is 1679272298 and his current mailing address is 6181 Se 11th St, Ocala, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679272298.
Provider's Profile
| Full Name | Jacob Tyler Balken |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11300 Ne 2nd Ave, Miami Shores, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679272298
- Provider Enumeration Date: 03/02/2023
- Last Update Date: 03/02/2023
Medical Identifiers
Medical identifiers for Jacob Tyler Balken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679272298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 9486538 (Florida) | 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. Jacob Tyler Balken 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 |
|---|
Jacob Tyler Balken,
6181 Se 11th St,
Ocala, FL 34472-7862
Ph: () - | Jacob Tyler Balken,
11300 Ne 2nd Ave,
Miami Shores, FL 33161-6628
Ph: (305) 899-3000 |
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