Jordan Nicole Gonzalski, is a
Student In An Organized Health Care Education/training Program based in West Yarmouth, Massachusetts. Jordan Nicole Gonzalski is licensed to practice in * (Not Available) (license number ) and her current practice location is
579 Buck Island Rd, West Yarmouth, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 534-8131.
NPI number for Jordan Nicole Gonzalski is 1093258303 and her current mailing address is 579 Buck Island Rd, West Yarmouth, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093258303.
Healthcare Provider's Profile
Full Name | Jordan Nicole Gonzalski |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 579 Buck Island Rd, West Yarmouth, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093258303
- Provider Enumeration Date: 11/18/2016
- Last Update Date: 09/23/2019
Medical Identifiers
Medical identifiers for Jordan Nicole Gonzalski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093258303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 76675 (Massachusetts) | 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. Jordan Nicole Gonzalski 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 |
Jordan Nicole Gonzalski, 579 Buck Island Rd, West Yarmouth, MA 02673-3200 Ph: () - | Jordan Nicole Gonzalski, 579 Buck Island Rd, West Yarmouth, MA 02673-3200 Ph: (508) 534-8131 |
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