Buck Jack Llc is a
Occupational Therapist based in Cannon City, Colorado. Buck Jack Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
Mountain View Core Knowledge School, 890 Field Ave, Cannon City, Colorado. It can be reached at their office (for appointments etc.) via phone at
(719) 597-0822.
NPI number for Buck Jack Llc is 1508472317 and their current mailing address is 685 Citadel Dr E Ste 580, Colorado Springs, Colorado. Buck Jack Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508472317.
Healthcare Provider's Profile
| Full Name | Buck Jack Llc |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | Mountain View Core Knowledge School, Cannon City, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508472317
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 10/01/2020
Medical Identifiers
Medical identifiers for Buck Jack Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508472317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (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. Buck Jack Llc 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 |
|---|
Buck Jack Llc
685 Citadel Dr E Ste 580,
Colorado Springs, CO 80909-5381
Ph: (719) 597-0822 | Buck Jack Llc
Mountain View Core Knowledge School, 890 Field Ave,
Cannon City, CO 81212-9250
Ph: (719) 597-0822 |
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