Jessica N Madrid, is a
Student In An Organized Health Care Education/training Program based in Lynbrook, New York. Jessica N Madrid is licensed to practice in New York (license number ) and her current practice location is
504 Merrick Rd Apt 3g, Lynbrook, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 754-0430.
NPI number for Jessica N Madrid is 1669826707 and her current mailing address is 504 Merrick Rd Apt 3g, Lynbrook, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669826707.
Healthcare Provider's Profile
| Full Name | Jessica N Madrid |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 504 Merrick Rd Apt 3g, Lynbrook, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669826707
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 10/04/2017
Medical Identifiers
Medical identifiers for Jessica N Madrid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669826707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 059483-1 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Jessica N Madrid 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 |
|---|
Jessica N Madrid,
504 Merrick Rd Apt 3g,
Lynbrook, NY 11563-2304
Ph: () - | Jessica N Madrid,
504 Merrick Rd Apt 3g,
Lynbrook, NY 11563-2304
Ph: (516) 754-0430 |
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