Jill Kristen Mumbach, OT is a
Occupational Therapist - Pediatrics based in East Concord, New York. Jill Kristen Mumbach is licensed to practice in New York (license number 005810-1) and her current practice location is
12970 Van Slyke Rd, East Concord, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 592-9829.
NPI number for Jill Kristen Mumbach is 1629359310 and her current mailing address is 12970 Van Slyke Rd, East Concord, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629359310.
Healthcare Provider's Profile
Full Name | Jill Kristen Mumbach |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 12970 Van Slyke Rd, East Concord, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629359310
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 09/08/2011
Medical Identifiers
Medical identifiers for Jill Kristen Mumbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629359310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 005810-1 (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. Jill Kristen Mumbach 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 |
Jill Kristen Mumbach, OT 12970 Van Slyke Rd, East Concord, NY 14055-9796 Ph: (716) 592-9829 | Jill Kristen Mumbach, OT 12970 Van Slyke Rd, East Concord, NY 14055-9796 Ph: (716) 592-9829 |
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