Jack M Levine, DO is a
Emergency Medicine physician based in Piketon, Ohio. Jack M Levine is licensed to practice in Illinois (license number 036-105772) and his current practice location is 7428 State Route 772, Piketon, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 493-1979.
NPI number for Jack M Levine is 1164492922 and his current mailing address is 7428 State Route 772, Piketon, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164492922.
Physician's Profile
| Full Name | Jack M Levine |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 7428 State Route 772, Piketon, Ohio |
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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: 1164492922
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 05/28/2008
Medical Identifiers
Medical identifiers for Jack M Levine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164492922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 036-105772 (Illinois) | 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. Jack M Levine 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 |
|---|
Jack M Levine, DO
7428 State Route 772,
Piketon, OH 45661-9602
Ph: (740) 493-1979 | Jack M Levine, DO
7428 State Route 772,
Piketon, OH 45661-9602
Ph: (740) 493-1979 |
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