Mr Jacob Gerard Vaxmonsky, OTLR is a
Occupational Therapist based in Port Griffith, Pennsylvania. Mr Jacob Gerard Vaxmonsky is licensed to practice in Pennsylvania (license number OC005082L) and his current practice location is
1315 Main St, Port Griffith, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 655-5697.
NPI number for Mr Jacob Gerard Vaxmonsky is 1255428223 and his current mailing address is 1315 Main St, Port Griffith, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255428223.
Healthcare Provider's Profile
Full Name | Mr Jacob Gerard Vaxmonsky |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 1315 Main St, Port Griffith, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255428223
- Provider Enumeration Date: 10/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jacob Gerard Vaxmonsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255428223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OC005082L (Pennsylvania) | 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 Jacob Gerard Vaxmonsky 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 Jacob Gerard Vaxmonsky, OTLR 1315 Main St, Port Griffith, PA 18640-1536 Ph: (570) 655-5697 | Mr Jacob Gerard Vaxmonsky, OTLR 1315 Main St, Port Griffith, PA 18640-1536 Ph: (570) 655-5697 |
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