Alice Demallie, NP is a
Nurse Practitioner - Family based in Shortsville, New York. Alice Demallie is licensed to practice in New York (license number 334147) and her current practice location is
15 Canandaigua St, Shortsville, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 289-3560.
NPI number for Alice Demallie is 1730195314 and her current mailing address is 15 Canandaigua Street, Shortsville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730195314.
Provider's Profile
| Full Name | Alice Demallie |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 15 Canandaigua St, Shortsville, 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: 1730195314
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 03/30/2015
Medical Identifiers
Medical identifiers for Alice Demallie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730195314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 532237 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 334147 (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. Alice Demallie 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 |
|---|
Alice Demallie, NP
15 Canandaigua Street,
Shortsville, NY 14548
Ph: (585) 289-3560 | Alice Demallie, NP
15 Canandaigua St,
Shortsville, NY 14548-9763
Ph: (585) 289-3560 |
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