Amy L Hettrich, PA is a
Clinical Nurse Specialist - Adult Health based in Burnt Hills, New York. Amy L Hettrich is licensed to practice in New York (license number 005898) and her current practice location is
848 Route 50, Burnt Hills, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 831-1500.
NPI number for Amy L Hettrich is 1063599652 and her current mailing address is Po Box 569, 848 Route 50, Burnt Hills, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063599652.
Provider's Profile
| Full Name | Amy L Hettrich |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 848 Route 50, Burnt Hills, 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: 1063599652
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/16/2017
Medical Identifiers
Medical identifiers for Amy L Hettrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063599652 | NPI | - | NPPES |
| 02554974 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 005898 (New York) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 005898 (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. Amy L Hettrich 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 |
|---|
Amy L Hettrich, PA
Po Box 569, 848 Route 50,
Burnt Hills, NY 12027-0569
Ph: (518) 831-1500 | Amy L Hettrich, PA
848 Route 50,
Burnt Hills, NY 12027
Ph: (518) 831-1500 |
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