Jenna Crull, is a
Speech-language Pathologist based in Middleburgh, New York. Jenna Crull is licensed to practice in New York (license number 034990) and her current practice location is
245 Main St, Middleburgh, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 827-3600.
NPI number for Jenna Crull is 1417771957 and her current mailing address is Po Box 606, Middleburgh, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417771957.
Healthcare Provider's Profile
| Full Name | Jenna Crull |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 245 Main St, Middleburgh, New York |
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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: 1417771957
- Provider Enumeration Date: 11/12/2024
- Last Update Date: 11/12/2024
Medical Identifiers
Medical identifiers for Jenna Crull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417771957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 034990 (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. Jenna Crull 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 |
|---|
Jenna Crull,
Po Box 606,
Middleburgh, NY 12122-0606
Ph: (518) 827-3600 | Jenna Crull,
245 Main St,
Middleburgh, NY 12122-6308
Ph: (518) 827-3600 |
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