Jennifer Rae Kelly Diers, LPN is a
Licensed Practical Nurse based in Gerry, New York. Jennifer Rae Kelly Diers is licensed to practice in New York (license number 304424) and her current practice location is
4972 Route 60, Gerry, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 607-0146.
NPI number for Jennifer Rae Kelly Diers is 1851698708 and her current mailing address is 4972 Route 60, Gerry, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851698708.
Provider's Profile
Full Name | Jennifer Rae Kelly Diers |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4972 Route 60, Gerry, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851698708
- Provider Enumeration Date: 02/11/2011
- Last Update Date: 02/11/2011
Medical Identifiers
Medical identifiers for Jennifer Rae Kelly Diers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851698708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 304424 (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. Jennifer Rae Kelly Diers 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 |
Jennifer Rae Kelly Diers, LPN 4972 Route 60, Gerry, NY 14740-9561 Ph: (716) 607-0146 | Jennifer Rae Kelly Diers, LPN 4972 Route 60, Gerry, NY 14740-9561 Ph: (716) 607-0146 |
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