Mr Jeffrey John Zotta, RPAC is a
Physician Assistant - Surgical based in Hadley, New York. Mr Jeffrey John Zotta is licensed to practice in New York (license number 004930) and his current practice location is
2184 S Shore Rd, Hadley, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 863-2749.
NPI number for Mr Jeffrey John Zotta is 1548280100 and his current mailing address is Po Box 1393, Northville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548280100.
Provider's Profile
| Full Name | Mr Jeffrey John Zotta |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 2184 S Shore Rd, Hadley, New York |
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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: 1548280100
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 10/26/2012
Medical Identifiers
Medical identifiers for Mr Jeffrey John Zotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548280100 | NPI | - | NPPES |
| 01563964 | Medicaid | NY | |
| 000405762001 | Other | NY | BLUE SHIELD NENY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 004930 (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 Jeffrey John Zotta 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 Jeffrey John Zotta, RPAC
Po Box 1393,
Northville, NY 12134-1393
Ph: (518) 863-2749 | Mr Jeffrey John Zotta, RPAC
2184 S Shore Rd,
Hadley, NY 12835-3601
Ph: (518) 863-2749 |
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