Jeremy Paul Mierisch, LAC,,MS is a
Acupuncturist based in East Patchogue, New York. Jeremy Paul Mierisch is licensed to practice in New York (license number 005062) and his current practice location is
10 Dahlia Dr W, East Patchogue, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 835-2415.
NPI number for Jeremy Paul Mierisch is 1720425267 and his current mailing address is 10 Dahlia Dr W, East Patchogue, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720425267.
Healthcare Provider's Profile
| Full Name | Jeremy Paul Mierisch |
|---|
| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 10 Dahlia Dr W, East Patchogue, New York |
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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: 1720425267
- Provider Enumeration Date: 05/23/2013
- Last Update Date: 05/23/2013
Medical Identifiers
Medical identifiers for Jeremy Paul Mierisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720425267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 005062 (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. Jeremy Paul Mierisch 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 |
|---|
Jeremy Paul Mierisch, LAC,,MS
10 Dahlia Dr W,
East Patchogue, NY 11772-4860
Ph: (631) 835-2415 | Jeremy Paul Mierisch, LAC,,MS
10 Dahlia Dr W,
East Patchogue, NY 11772-4860
Ph: (631) 835-2415 |
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