Mr Jens L Wennberg, PA is a
Physician Assistant - Medical based in Freeville, New York. Mr Jens L Wennberg is licensed to practice in New York (license number 004990) and his current practice location is
501 Midline Rd, Freeville, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 539-7733.
NPI number for Mr Jens L Wennberg is 1841436953 and his current mailing address is 501 Midline Rd, Freeville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841436953.
Provider's Profile
| Full Name | Mr Jens L Wennberg |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 501 Midline Rd, Freeville, 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: 1841436953
- Provider Enumeration Date: 12/18/2008
- Last Update Date: 09/07/2010
Medical Identifiers
Medical identifiers for Mr Jens L Wennberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841436953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 004990 (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 Jens L Wennberg 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 Jens L Wennberg, PA
501 Midline Rd,
Freeville, NY 13068-5625
Ph: (607) 539-7733 | Mr Jens L Wennberg, PA
501 Midline Rd,
Freeville, NY 13068-5625
Ph: (607) 539-7733 |
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