Jack Raymond Albert, is a
Specialist/technologist - Athletic Trainer based in Spokane Valley, Washington. Jack Raymond Albert is licensed to practice in Washington (license number ATHL.A1.70008337) and his current practice location is
15909 E Marietta Ave Ste 110, Spokane Valley, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 936-7466.
NPI number for Jack Raymond Albert is 1790458495 and his current mailing address is 207 Physical Education Building, Eastern Washington University, Cheney, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790458495.
Healthcare Provider's Profile
Full Name | Jack Raymond Albert |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 15909 E Marietta Ave Ste 110, Spokane Valley, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790458495
- Provider Enumeration Date: 07/28/2021
- Last Update Date: 06/05/2025
Medical Identifiers
Medical identifiers for Jack Raymond Albert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790458495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT.PT.70004362 (Washington) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | ATHL.A1.70008337 (Washington) | 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 Raymond Albert 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 Raymond Albert, 207 Physical Education Building, Eastern Washington University, Cheney, WA 99004-2476 Ph: (509) 359-6399 | Jack Raymond Albert, 15909 E Marietta Ave Ste 110, Spokane Valley, WA 99216-1888 Ph: (509) 936-7466 |
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