Mrs Jaclyn S Presley, PA is a
Physician Assistant based in Vernon, New York. Mrs Jaclyn S Presley is licensed to practice in New York (license number 012218) and her current practice location is
4857 State Route 5, Vernon, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 363-9995.
NPI number for Mrs Jaclyn S Presley is 1811176183 and her current mailing address is 4857 State Route 5, Vernon, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811176183.
Provider's Profile
| Full Name | Mrs Jaclyn S Presley |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 4857 State Route 5, Vernon, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811176183
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 02/15/2016
Medical Identifiers
Medical identifiers for Mrs Jaclyn S Presley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811176183 | NPI | - | NPPES |
| 02948763 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 012218 (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. Mrs Jaclyn S Presley 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 |
|---|
Mrs Jaclyn S Presley, PA
4857 State Route 5,
Vernon, NY 13476
Ph: (315) 363-9995 | Mrs Jaclyn S Presley, PA
4857 State Route 5,
Vernon, NY 13476
Ph: (315) 363-9995 |
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