Mr Kyle Edwin Jersey, RN is a
Massage Therapist based in Gainesville, Florida. Mr Kyle Edwin Jersey is licensed to practice in Florida (license number MA60871) and his current practice location is
1128 Ne 20th Place, Gainesville, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 234-6677.
NPI number for Mr Kyle Edwin Jersey is 1760774939 and his current mailing address is 1128 Ne 20th Place, Gainesville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760774939.
Provider's Profile
| Full Name | Mr Kyle Edwin Jersey |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
|---|
| Location | 1128 Ne 20th Place, Gainesville, 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: 1760774939
- Provider Enumeration Date: 05/06/2011
- Last Update Date: 05/06/2011
Medical Identifiers
Medical identifiers for Mr Kyle Edwin Jersey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760774939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | RN9264326 (Florida) | Secondary |
| 225700000X | Massage Therapist | MA60871 (Florida) | 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 Kyle Edwin Jersey 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 Kyle Edwin Jersey, RN
1128 Ne 20th Place,
Gainesville, FL 32609
Ph: (352) 234-6677 | Mr Kyle Edwin Jersey, RN
1128 Ne 20th Place,
Gainesville, FL 32609
Ph: (352) 234-6677 |
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