Mr Jody Poole, OT is a
Occupational Therapist based in Bogata, Texas. Mr Jody Poole is licensed to practice in Texas (license number 114187) and his current practice location is
146 Mount Vernon Rd, Bogata, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 249-5998.
NPI number for Mr Jody Poole is 1093262362 and his current mailing address is 146 Mount Vernon Rd, Bogata, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093262362.
Healthcare Provider's Profile
| Full Name | Mr Jody Poole |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 146 Mount Vernon Rd, Bogata, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093262362
- Provider Enumeration Date: 09/04/2016
- Last Update Date: 09/04/2016
Medical Identifiers
Medical identifiers for Mr Jody Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093262362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 114187 (Texas) | 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 Jody Poole 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 Jody Poole, OT
146 Mount Vernon Rd,
Bogata, TX 75417-2674
Ph: (903) 249-5998 | Mr Jody Poole, OT
146 Mount Vernon Rd,
Bogata, TX 75417-2674
Ph: (903) 249-5998 |
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