Jacie Youngblood, is a
Speech-language Pathologist based in Wink, Texas. Jacie Youngblood is licensed to practice in Texas (license number ) and her current practice location is
200 North Rosey Dodd, Wink, Texas. She can be reached at her office (for appointments etc.) via phone at
(432) 527-3880.
NPI number for Jacie Youngblood is 1457050213 and her current mailing address is Po Box 637, Wink, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457050213.
Healthcare Provider's Profile
| Full Name | Jacie Youngblood |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 200 North Rosey Dodd, Wink, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457050213
- Provider Enumeration Date: 03/01/2023
- Last Update Date: 03/01/2023
Medical Identifiers
Medical identifiers for Jacie Youngblood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457050213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (Texas) | 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. Jacie Youngblood 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 |
|---|
Jacie Youngblood,
Po Box 637,
Wink, TX 79789-0637
Ph: (432) 527-3880 | Jacie Youngblood,
200 North Rosey Dodd,
Wink, TX 79789
Ph: (432) 527-3880 |
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