Thomas St John Jr, is a
Peer Specialist based in Rochester, New York. Thomas St John Jr is licensed to practice in New York (license number CRPA-P-5164) and his current practice location is
360 East Ave Ste 100, Rochester, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 491-3215.
NPI number for Thomas St John Jr is 1619543337 and his current mailing address is 360 East Ave Ste 100, Rochester, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619543337.
Healthcare Provider's Profile
| Full Name | Thomas St John Jr |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 360 East Ave Ste 100, Rochester, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619543337
- Provider Enumeration Date: 06/02/2021
- Last Update Date: 11/18/2022
Medical Identifiers
Medical identifiers for Thomas St John Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619543337 | NPI | - | NPPES |
| CRPA-P-5164 | Other | NY | CRPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | CRPA-P-5164 (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. Thomas St John Jr 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 |
|---|
Thomas St John Jr,
360 East Ave Ste 100,
Rochester, NY 14604-2699
Ph: (585) 491-3215 | Thomas St John Jr,
360 East Ave Ste 100,
Rochester, NY 14604-2699
Ph: (585) 491-3215 |
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