Dr Jan Pennington Wishoff, OD is a
Optometrist based in Briarcliff, Texas. Dr Jan Pennington Wishoff is licensed to practice in Florida (license number OPC2259) and her current practice location is
805 Paisley Dr, 14, Briarcliff, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 791-3736.
NPI number for Dr Jan Pennington Wishoff is 1669454120 and her current mailing address is 805 Paisley Dr, 14, Briarcliff, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669454120.
Healthcare Provider's Profile
| Full Name | Dr Jan Pennington Wishoff |
|---|
| Gender | Female |
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| Speciality | Optometrist |
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| Location | 805 Paisley Dr, Briarcliff, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669454120
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 10/04/2013
Medical Identifiers
Medical identifiers for Dr Jan Pennington Wishoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669454120 | NPI | - | NPPES |
| 093035603 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPC2259 (Florida) | Primary |
| 152W00000X | Optometrist | 3545TG (Texas) | Secondary |
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. Dr Jan Pennington Wishoff 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 |
|---|
Dr Jan Pennington Wishoff, OD
805 Paisley Dr, 14,
Briarcliff, TX 78669-2432
Ph: (512) 791-3736 | Dr Jan Pennington Wishoff, OD
805 Paisley Dr, 14,
Briarcliff, TX 78669-2432
Ph: (512) 791-3736 |
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