Jesse Wilcock, OTR/L is a
Occupational Therapist based in Lakeside, Arizona. Jesse Wilcock is licensed to practice in Arizona (license number 5751) and his current practice location is
218 W White Mountain Blvd, Suite A & B, Lakeside, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 367-5779.
NPI number for Jesse Wilcock is 1528487840 and his current mailing address is 218 W White Mountain Blvd, Suite A & B, Lakeside, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528487840.
Healthcare Provider's Profile
Full Name | Jesse Wilcock |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 218 W White Mountain Blvd, Lakeside, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528487840
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 04/15/2014
Medical Identifiers
Medical identifiers for Jesse Wilcock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528487840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 5751 (Arizona) | Secondary |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 5751 (Arizona) | Secondary |
225XM0800X | Occupational Therapist - Mental Health | 5751 (Arizona) | Secondary |
225X00000X | Occupational Therapist | 5751 (Arizona) | 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. Jesse Wilcock 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 |
Jesse Wilcock, OTR/L 218 W White Mountain Blvd, Suite A & B, Lakeside, AZ 85929-7013 Ph: (928) 367-5779 | Jesse Wilcock, OTR/L 218 W White Mountain Blvd, Suite A & B, Lakeside, AZ 85929-7013 Ph: (928) 367-5779 |
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