Jacara Reid, is a
Student In An Organized Health Care Education/training Program based in Philadelphia, Pennsylvania. Jacara Reid is licensed to practice in * (Not Available) (license number ) and her current practice location is
1200 W Tabor Rd, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 456-9850.
NPI number for Jacara Reid is 1215694070 and her current mailing address is 1200 W Tabor Rd, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215694070.
Healthcare Provider's Profile
| Full Name | Jacara Reid |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1200 W Tabor Rd, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215694070
- Provider Enumeration Date: 11/29/2021
- Last Update Date: 05/13/2022
Medical Identifiers
Medical identifiers for Jacara Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215694070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jacara Reid 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 |
|---|
Jacara Reid,
1200 W Tabor Rd,
Philadelphia, PA 19141-3019
Ph: () - | Jacara Reid,
1200 W Tabor Rd,
Philadelphia, PA 19141-3019
Ph: (215) 456-9850 |
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