Jeremy Peter Mang, is a
Physical Therapist based in Gasport, New York. Jeremy Peter Mang is licensed to practice in New York (license number 022542-1) and his current practice location is
4540 Lincoln Dr, Gasport, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 772-2631.
NPI number for Jeremy Peter Mang is 1881290740 and his current mailing address is 4540 Lincoln Dr, Gasport, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881290740.
Healthcare Provider's Profile
| Full Name | Jeremy Peter Mang |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4540 Lincoln Dr, Gasport, 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: 1881290740
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 12/07/2020
Medical Identifiers
Medical identifiers for Jeremy Peter Mang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881290740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 022542-1 (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. Jeremy Peter Mang 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 |
|---|
Jeremy Peter Mang,
4540 Lincoln Dr,
Gasport, NY 14067-9212
Ph: () - | Jeremy Peter Mang,
4540 Lincoln Dr,
Gasport, NY 14067-9212
Ph: (716) 772-2631 |
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