Jane K Wodicka, MA, CCC-SLP, TSHH is a
Speech-language Pathologist based in Great River, New York. Jane K Wodicka is licensed to practice in New York (license number 011832-1) and her current practice location is
22 Provost Ln, Great River, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 921-2463.
NPI number for Jane K Wodicka is 1629474499 and her current mailing address is 22 Provost Ln, Great River, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629474499.
Healthcare Provider's Profile
| Full Name | Jane K Wodicka |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 22 Provost Ln, Great River, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629474499
- Provider Enumeration Date: 11/06/2014
- Last Update Date: 04/13/2015
Medical Identifiers
Medical identifiers for Jane K Wodicka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629474499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 011832-1 (New York) | 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. Jane K Wodicka 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 |
|---|
Jane K Wodicka, MA, CCC-SLP, TSHH
22 Provost Ln,
Great River, NY 11739-3017
Ph: (631) 921-2463 | Jane K Wodicka, MA, CCC-SLP, TSHH
22 Provost Ln,
Great River, NY 11739-3017
Ph: (631) 921-2463 |
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