Jacqueline Caryn Honstrom, is a
Technician/technologist - Optician based in Wahkon, Minnesota. Jacqueline Caryn Honstrom is licensed to practice in * (Not Available) (license number ) and her current practice location is
270 N Main St, Wahkon, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 495-3500.
NPI number for Jacqueline Caryn Honstrom is 1760709125 and her current mailing address is 270 N Main St, Po Box 39, Wahkon, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760709125.
Healthcare Provider's Profile
| Full Name | Jacqueline Caryn Honstrom |
|---|
| Gender | Female |
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| Speciality | Technician/technologist - Optician |
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| Location | 270 N Main St, Wahkon, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760709125
- Provider Enumeration Date: 04/26/2010
- Last Update Date: 04/26/2010
Medical Identifiers
Medical identifiers for Jacqueline Caryn Honstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760709125 | NPI | - | NPPES |
| 1164525044 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2148 (Minnesota) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | 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. Jacqueline Caryn Honstrom 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 |
|---|
Jacqueline Caryn Honstrom,
270 N Main St, Po Box 39,
Wahkon, MN 56386-4401
Ph: (320) 495-3500 | Jacqueline Caryn Honstrom,
270 N Main St,
Wahkon, MN 56386-4401
Ph: (320) 495-3500 |
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