Mrs Jennifer Sue Brooks, is a
Occupational Therapy Assistant based in Marengo, Ohio. Mrs Jennifer Sue Brooks is licensed to practice in Ohio (license number OTA006638) and her current practice location is
5151 County Road 15, Marengo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 501-3582.
NPI number for Mrs Jennifer Sue Brooks is 1255577755 and her current mailing address is 5151 County Road 15, Marengo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255577755.
Provider's Profile
Full Name | Mrs Jennifer Sue Brooks |
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Gender | Female |
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Speciality | Occupational Therapy Assistant |
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Location | 5151 County Road 15, Marengo, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255577755
- Provider Enumeration Date: 01/05/2009
- Last Update Date: 09/18/2019
Medical Identifiers
Medical identifiers for Mrs Jennifer Sue Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255577755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN 128383 (Ohio) | Secondary |
224Z00000X | Occupational Therapy Assistant | OTA006638 (Ohio) | 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 Jennifer Sue Brooks 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 Jennifer Sue Brooks, 5151 County Road 15, Marengo, OH 43334-9619 Ph: (740) 501-3582 | Mrs Jennifer Sue Brooks, 5151 County Road 15, Marengo, OH 43334-9619 Ph: (740) 501-3582 |
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