Jacquelin Victoria Deatcher, NP, CDE is a
Nurse Practitioner - Adult Health based in Attica, New York. Jacquelin Victoria Deatcher is licensed to practice in New York (license number F303405-1) and her current practice location is
3325 E Main Street Rd, Attica, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 547-3849.
NPI number for Jacquelin Victoria Deatcher is 1851498497 and her current mailing address is 3225b Broadway Rd, Alexander, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851498497.
Provider's Profile
| Full Name | Jacquelin Victoria Deatcher |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 3325 E Main Street Rd, Attica, 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: 1851498497
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jacquelin Victoria Deatcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851498497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F303405-1 (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. Jacquelin Victoria Deatcher 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 |
|---|
Jacquelin Victoria Deatcher, NP, CDE
3225b Broadway Rd,
Alexander, NY 14005-9760
Ph: (585) 547-3849 | Jacquelin Victoria Deatcher, NP, CDE
3325 E Main Street Rd,
Attica, NY 14011-9506
Ph: (585) 547-3849 |
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