Jacob Ilardi, is a
Licensed Practical Nurse based in Jameston, North Carolina. Jacob Ilardi is licensed to practice in North Carolina (license number 7792781W) and his current practice location is
310 Nutwood Circle, Jameston, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(631) 294-5109.
NPI number for Jacob Ilardi is 1912269036 and his current mailing address is 310 Nutwood Circle, Jameston, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912269036.
Provider's Profile
Full Name | Jacob Ilardi |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 310 Nutwood Circle, Jameston, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912269036
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 06/14/2012
Medical Identifiers
Medical identifiers for Jacob Ilardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912269036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 7792781W (North Carolina) | 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. Jacob Ilardi 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 |
Jacob Ilardi, 310 Nutwood Circle, Jameston, NC 27282 Ph: (631) 294-5109 | Jacob Ilardi, 310 Nutwood Circle, Jameston, NC 27282 Ph: (631) 294-5109 |
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