Dr Thomas Daniel Jagger, MD is a
Optometrist based in Waverly, New York. Dr Thomas Daniel Jagger is licensed to practice in New York (license number TUV003009) and his current practice location is
150 Broad St, Waverly, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 565-2177.
NPI number for Dr Thomas Daniel Jagger is 1689643561 and his current mailing address is 1 Guthrie Sq, Sayre, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689643561.
Healthcare Provider's Profile
| Full Name | Dr Thomas Daniel Jagger |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
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| Location | 150 Broad St, Waverly, New York |
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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: 1689643561
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 08/02/2011
Medical Identifiers
Medical identifiers for Dr Thomas Daniel Jagger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689643561 | NPI | - | NPPES |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 001844952001 | Medicaid | PA | |
| 02144190 | Medicaid | NY | |
| 410045675 | Other | NY | RR MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG000604 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | TUV003009 (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. Dr Thomas Daniel Jagger 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 Thomas Daniel Jagger, MD
1 Guthrie Sq,
Sayre, PA 18840-1625
Ph: (570) 888-5858 | Dr Thomas Daniel Jagger, MD
150 Broad St,
Waverly, NY 14892-1320
Ph: (607) 565-2177 |
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