Jeffrey Wade Womack, is a
Physical Therapist based in Seneca, Missouri. Jeffrey Wade Womack is licensed to practice in Missouri (license number 2018007364) and his current practice location is
914 Chickesaw St, Seneca, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 776-8041.
NPI number for Jeffrey Wade Womack is 1679127062 and his current mailing address is 1623 Kingsbury Ave, Miami, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679127062.
Healthcare Provider's Profile
Full Name | Jeffrey Wade Womack |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 914 Chickesaw St, Seneca, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679127062
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 07/24/2019
Medical Identifiers
Medical identifiers for Jeffrey Wade Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679127062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2018007364 (Missouri) | Primary |
225100000X | Physical Therapist | 2513 (Oklahoma) | 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. Jeffrey Wade Womack 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 |
Jeffrey Wade Womack, 1623 Kingsbury Ave, Miami, OK 74354-2180 Ph: () - | Jeffrey Wade Womack, 914 Chickesaw St, Seneca, MO 64865-9281 Ph: (417) 776-8041 |
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