Angelica Beth Emmons, is a
Licensed Practical Nurse based in Durhamville, New York. Angelica Beth Emmons is licensed to practice in New York (license number 287190-1) and her current practice location is
5424 Main St, Durhamville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 363-3572.
NPI number for Angelica Beth Emmons is 1073705422 and her current mailing address is 5424 Main St, Durhamville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073705422.
Provider's Profile
Full Name | Angelica Beth Emmons |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5424 Main St, Durhamville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073705422
- Provider Enumeration Date: 08/09/2007
- Last Update Date: 08/09/2007
Medical Identifiers
Medical identifiers for Angelica Beth Emmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073705422 | NPI | - | NPPES |
02841050 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 287190-1 (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. Angelica Beth Emmons 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 |
Angelica Beth Emmons, 5424 Main St, Durhamville, NY 13054-3101 Ph: (315) 363-3572 | Angelica Beth Emmons, 5424 Main St, Durhamville, NY 13054-3101 Ph: (315) 363-3572 |
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