Jacob M Ratliff, LPN is a
Licensed Vocational Nurse based in Copenhagen, New York. Jacob M Ratliff is licensed to practice in New York (license number 344965) and his current practice location is
714 Phalen Dr Apt A, Copenhagen, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 886-4692.
NPI number for Jacob M Ratliff is 1407545239 and his current mailing address is 714 Phalen Dr Apt A, Copenhagen, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407545239.
Provider's Profile
| Full Name | Jacob M Ratliff |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 714 Phalen Dr Apt A, Copenhagen, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407545239
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 05/08/2023
Medical Identifiers
Medical identifiers for Jacob M Ratliff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407545239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 344965 (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. Jacob M Ratliff 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 M Ratliff, LPN
714 Phalen Dr Apt A,
Copenhagen, NY 13626-3116
Ph: (315) 886-4692 | Jacob M Ratliff, LPN
714 Phalen Dr Apt A,
Copenhagen, NY 13626-3116
Ph: (315) 886-4692 |
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