Jessica Anna Marriam, LPN is a
Licensed Practical Nurse based in Caledonia, New York. Jessica Anna Marriam is licensed to practice in New York (license number 311010) and her current practice location is
305 Leicester St, Caledonia, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 705-3588.
NPI number for Jessica Anna Marriam is 1174963938 and her current mailing address is 305 Leicester St, Caledonia, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174963938.
Provider's Profile
Full Name | Jessica Anna Marriam |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 305 Leicester St, Caledonia, 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: 1174963938
- Provider Enumeration Date: 06/26/2013
- Last Update Date: 06/26/2013
Medical Identifiers
Medical identifiers for Jessica Anna Marriam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174963938 | NPI | - | NPPES |
311010 | Other | NY | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 311010 (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. Jessica Anna Marriam 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 |
Jessica Anna Marriam, LPN 305 Leicester St, Caledonia, NY 14423-1205 Ph: (585) 705-3588 | Jessica Anna Marriam, LPN 305 Leicester St, Caledonia, NY 14423-1205 Ph: (585) 705-3588 |
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