Dr Jack W Pearl, DO is a
Allergy & Immunology physician based in Plymouth, Michigan. Dr Jack W Pearl is licensed to practice in Michigan (license number 5101004511) and his current practice location is 9398 N Lilley Rd, Plymouth, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 459-2255.
NPI number for Dr Jack W Pearl is 1306804703 and his current mailing address is 9398 N Lilley Rd, Plymouth, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306804703.
Physician's Profile
| Full Name | Dr Jack W Pearl |
|---|
| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 9398 N Lilley Rd, Plymouth, Michigan |
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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: 1306804703
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 01/14/2010
Medical Identifiers
Medical identifiers for Dr Jack W Pearl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306804703 | NPI | - | NPPES |
| 2628611 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 5101004511 (Michigan) | 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. Dr Jack W Pearl 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 |
|---|
Dr Jack W Pearl, DO
9398 N Lilley Rd,
Plymouth, MI 48170-4610
Ph: (734) 459-2255 | Dr Jack W Pearl, DO
9398 N Lilley Rd,
Plymouth, MI 48170-4610
Ph: (734) 459-2255 |
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