Jacob Joseph Merrin, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Jacob Joseph Merrin is licensed to practice in * (Not Available) (license number ) and his current practice location is
2400 Moorpark Ave Ste 300, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 975-2730.
NPI number for Jacob Joseph Merrin is 1659847929 and his current mailing address is 2400 Moorpark Ave Ste 300, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659847929.
Healthcare Provider's Profile
| Full Name | Jacob Joseph Merrin |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2400 Moorpark Ave Ste 300, San Jose, California |
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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: 1659847929
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Jacob Joseph Merrin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659847929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (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. Jacob Joseph Merrin 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 |
|---|
Jacob Joseph Merrin,
2400 Moorpark Ave Ste 300,
San Jose, CA 95128-2680
Ph: (408) 975-2730 | Jacob Joseph Merrin,
2400 Moorpark Ave Ste 300,
San Jose, CA 95128-2680
Ph: (408) 975-2730 |
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