Jessica Pathrose, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Williamsville, New York. Her current practice location is
1800 Maple Rd Ste 100, Williamsville, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 636-5437.
Jessica Pathrose is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669095477.
Physician's Profile
Full Name | Jessica Pathrose |
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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 | 1800 Maple Rd Ste 100, Williamsville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669095477
- Provider Enumeration Date: 05/27/2020
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698198414
- Enrollment ID: I20200710003091
Medical Identifiers
Medical identifiers for Jessica Pathrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669095477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 323640 (New York) | 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. Jessica Pathrose is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Pathrose, DO 31 Fargo Ave Lowr Front, Buffalo, NY 14201-1768 Ph: (214) 957-3060 | Jessica Pathrose, DO 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 Ph: (716) 636-5437 |
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