Kellie Elizabeth Degraff, LPN is a
Licensed Practical Nurse based in E Rochester, New York. Kellie Elizabeth Degraff is licensed to practice in New York (license number 279098) and her current practice location is
405 W Elm St, E Rochester, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 381-2554.
NPI number for Kellie Elizabeth Degraff is 1417293424 and her current mailing address is 405 W Elm St, E Rochester, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417293424.
Provider's Profile
Full Name | Kellie Elizabeth Degraff |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 405 W Elm St, E Rochester, 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: 1417293424
- Provider Enumeration Date: 12/19/2012
- Last Update Date: 12/19/2012
Medical Identifiers
Medical identifiers for Kellie Elizabeth Degraff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417293424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 279098 (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. Kellie Elizabeth Degraff 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 |
Kellie Elizabeth Degraff, LPN 405 W Elm St, E Rochester, NY 14445-2228 Ph: (585) 381-2554 | Kellie Elizabeth Degraff, LPN 405 W Elm St, E Rochester, NY 14445-2228 Ph: (585) 381-2554 |
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