Dr Jonathan Wahl, MD is a
General Practice physician based in Jericho, New York. Dr Jonathan Wahl is licensed to practice in New York (license number 232419) and his current practice location is 471 N Broadway, Suite 278, Jericho, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 695-6340.
NPI number for Dr Jonathan Wahl is 1821155755 and his current mailing address is 471 N Broadway, Suite 278, Jericho, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821155755.
Physician's Profile
| Full Name | Dr Jonathan Wahl |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 471 N Broadway, Jericho, 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: 1821155755
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 11/03/2009
Medical Identifiers
Medical identifiers for Dr Jonathan Wahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821155755 | NPI | - | NPPES |
| 02848373 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 232419 (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. Dr Jonathan Wahl 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 Jonathan Wahl, MD
471 N Broadway, Suite 278,
Jericho, NY 11753-2106
Ph: (516) 695-6340 | Dr Jonathan Wahl, MD
471 N Broadway, Suite 278,
Jericho, NY 11753-2106
Ph: (516) 695-6340 |
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