Erica Joan Thiessen, is a
Licensed Practical Nurse based in Glen Spey, New York. Erica Joan Thiessen is licensed to practice in New York (license number 322618-1) and her current practice location is
1632 Forestburgh Rd, Glen Spey, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 665-1237.
NPI number for Erica Joan Thiessen is 1104377191 and her current mailing address is 1632 Forestburgh Rd, Glen Spey, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104377191.
Provider's Profile
| Full Name | Erica Joan Thiessen |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1632 Forestburgh Rd, Glen Spey, 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: 1104377191
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 10/14/2016
Medical Identifiers
Medical identifiers for Erica Joan Thiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104377191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 322618-1 (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. Erica Joan Thiessen 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 |
|---|
Erica Joan Thiessen,
1632 Forestburgh Rd,
Glen Spey, NY 12737-5250
Ph: (845) 665-1237 | Erica Joan Thiessen,
1632 Forestburgh Rd,
Glen Spey, NY 12737-5250
Ph: (845) 665-1237 |
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