Kacie Polidoro, RN is a
Registered Nurse based in Southampton, New Jersey. Kacie Polidoro is licensed to practice in New Jersey (license number 26NO11015000) and her current practice location is
343 New Rd, Southampton, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 351-8139.
NPI number for Kacie Polidoro is 1861157935 and her current mailing address is 343 New Rd, Southampton, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861157935.
Provider's Profile
Full Name | Kacie Polidoro |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 343 New Rd, Southampton, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861157935
- Provider Enumeration Date: 11/03/2021
- Last Update Date: 11/03/2021
Medical Identifiers
Medical identifiers for Kacie Polidoro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861157935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 26NO11015000 (New Jersey) | 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. Kacie Polidoro 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 |
Kacie Polidoro, RN 343 New Rd, Southampton, NJ 08088-1403 Ph: () - | Kacie Polidoro, RN 343 New Rd, Southampton, NJ 08088-1403 Ph: (609) 351-8139 |
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