Autumn Demaris, RN is a
Student In An Organized Health Care Education/training Program based in Plano, Texas. Autumn Demaris is licensed to practice in * (Not Available) (license number ) and her current practice location is
5851 Legacy Cir Ste 600, Plano, Texas. She can be reached at her office (for appointments etc.) via phone at
(203) 200-0749.
NPI number for Autumn Demaris is 1255159273 and her current mailing address is 5851 Legacy Cir Ste 600, Plano, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255159273.
Provider's Profile
| Full Name | Autumn Demaris |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 5851 Legacy Cir Ste 600, Plano, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255159273
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Autumn Demaris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255159273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 1064819 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Autumn Demaris 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 |
|---|
Autumn Demaris, RN
5851 Legacy Cir Ste 600,
Plano, TX 75024-5969
Ph: () - | Autumn Demaris, RN
5851 Legacy Cir Ste 600,
Plano, TX 75024-5969
Ph: (203) 200-0749 |
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