Diane Mccoy, is a
Licensed Practical Nurse based in Gothenburg, Nebraska. Diane Mccoy is licensed to practice in Nebraska (license number 18128) and her current practice location is
1116 Jefferson St, Gothenburg, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(308) 529-1368.
NPI number for Diane Mccoy is 1699179978 and her current mailing address is 1116 Jefferson St, Gothenburg, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699179978.
Provider's Profile
Full Name | Diane Mccoy |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1116 Jefferson St, Gothenburg, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699179978
- Provider Enumeration Date: 10/15/2014
- Last Update Date: 10/15/2014
Medical Identifiers
Medical identifiers for Diane Mccoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699179978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 18128 (Nebraska) | Primary |
372500000X | Chore Provider | 18128 (Nebraska) | Secondary |
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. Diane Mccoy 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 |
Diane Mccoy, 1116 Jefferson St, Gothenburg, NE 69138-1854 Ph: (308) 529-1368 | Diane Mccoy, 1116 Jefferson St, Gothenburg, NE 69138-1854 Ph: (308) 529-1368 |
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