Jane Moudrik, is a
Licensed Practical Nurse based in Kauneonga Lake, New York. Jane Moudrik is licensed to practice in New York (license number 198930) and her current practice location is
44 Henrey Street Wurtsboro, Kauneonga Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 807-8818.
NPI number for Jane Moudrik is 1184150153 and her current mailing address is Po Box 454, Kauneonga Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184150153.
Provider's Profile
| Full Name | Jane Moudrik |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 44 Henrey Street Wurtsboro, Kauneonga Lake, 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: 1184150153
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 05/11/2017
Medical Identifiers
Medical identifiers for Jane Moudrik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184150153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 198930 (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. Jane Moudrik 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 |
|---|
Jane Moudrik,
Po Box 454,
Kauneonga Lake, NY 12749-0454
Ph: (845) 807-8818 | Jane Moudrik,
44 Henrey Street Wurtsboro,
Kauneonga Lake, NY 12749-0454
Ph: (845) 807-8818 |
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