J T School District 2 is a
Psychologist based in White Lake, Wisconsin. J T School District 2 is licensed to practice in Wisconsin (license number 079225) and their current practice location is
405 Bissell Street, White Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 882-2361.
NPI number for J T School District 2 is 1467629907 and their current mailing address is Po Box 67, 405 Bissell Street, White Lake, Wisconsin. J T School District 2
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467629907.
Healthcare Provider's Profile
| Full Name | J T School District 2 |
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| Type | Facility |
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| Speciality | Psychologist |
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| Location | 405 Bissell Street, White Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467629907
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 05/14/2008
Medical Identifiers
Medical identifiers for J T School District 2 such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467629907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 065019 (Wisconsin) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 605019 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 079225 (Wisconsin) | 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. J T School District 2 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 |
|---|
J T School District 2
Po Box 67, 405 Bissell Street,
White Lake, WI 54491-0067
Ph: (715) 882-2361 | J T School District 2
405 Bissell Street,
White Lake, WI 54491-0067
Ph: (715) 882-2361 |
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