Betty Marie Lavalley, NURSE is a
Licensed Practical Nurse based in Ellenburg Depot, New York. Betty Marie Lavalley is licensed to practice in New York (license number 289489-1) and her current practice location is
5899 Military Tpke, Ellenburg Depot, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 594-3742.
NPI number for Betty Marie Lavalley is 1275711434 and her current mailing address is 5899 Military Tpke, Ellenburg Depot, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275711434.
Provider's Profile
| Full Name | Betty Marie Lavalley |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 5899 Military Tpke, Ellenburg Depot, 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: 1275711434
- Provider Enumeration Date: 02/09/2008
- Last Update Date: 02/09/2008
Medical Identifiers
Medical identifiers for Betty Marie Lavalley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275711434 | NPI | - | NPPES |
| 02905631 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 289489-1 (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. Betty Marie Lavalley 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 |
|---|
Betty Marie Lavalley, NURSE
5899 Military Tpke,
Ellenburg Depot, NY 12935-3016
Ph: (518) 594-3742 | Betty Marie Lavalley, NURSE
5899 Military Tpke,
Ellenburg Depot, NY 12935-3016
Ph: (518) 594-3742 |
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