Jak Enterprises Inc is a
Durable Medical Equipment & Medical Supplies based in Peoria, Illinois. Jak Enterprises Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1200 W Main St, Suite 21, Peoria, Illinois. It can be reached at their office (for appointments etc.) via phone at
(309) 672-2273.
NPI number for Jak Enterprises Inc is 1760421317 and their current mailing address is 8309 N Knoxville Ave, Peoria, Illinois. Jak Enterprises Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760421317.
Healthcare Provider's Profile
| Full Name | Jak Enterprises Inc |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 1200 W Main St, Peoria, Illinois |
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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: 1760421317
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Jak Enterprises Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760421317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | 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. Jak Enterprises Inc 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 |
|---|
Jak Enterprises Inc
8309 N Knoxville Ave,
Peoria, IL 61615-2170
Ph: (309) 693-9540 | Jak Enterprises Inc
1200 W Main St, Suite 21,
Peoria, IL 61606-1253
Ph: (309) 672-2273 |
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