Jessie J Fong, is a
Pharmacist based in Earle, Arkansas. Jessie J Fong is licensed to practice in Arkansas (license number 5307) and her current practice location is
621 Commerce St, Earle, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 792-8763.
NPI number for Jessie J Fong is 1619011186 and her current mailing address is 621 Commerce St, Earle, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619011186.
Healthcare Provider's Profile
Full Name | Jessie J Fong |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 621 Commerce St, Earle, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619011186
- Provider Enumeration Date: 02/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jessie J Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619011186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5307 (Arkansas) | 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. Jessie J Fong 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 |
Jessie J Fong, 621 Commerce St, Earle, AR 72331-1616 Ph: (870) 792-8763 | Jessie J Fong, 621 Commerce St, Earle, AR 72331-1616 Ph: (870) 792-8763 |
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