Kortney Jo Koterass, is a
Licensed Practical Nurse based in Kennedy, New York. Kortney Jo Koterass is licensed to practice in New York (license number 344872-01) and her current practice location is
24b Blue Jay St, Kennedy, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 490-5282.
NPI number for Kortney Jo Koterass is 1457052813 and her current mailing address is 24b Blue Jay St, Kennedy, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457052813.
Provider's Profile
| Full Name | Kortney Jo Koterass |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 24b Blue Jay St, Kennedy, 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: 1457052813
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 03/13/2023
Medical Identifiers
Medical identifiers for Kortney Jo Koterass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457052813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 344872-01 (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. Kortney Jo Koterass 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 |
|---|
Kortney Jo Koterass,
24b Blue Jay St,
Kennedy, NY 14747-9549
Ph: (716) 490-5282 | Kortney Jo Koterass,
24b Blue Jay St,
Kennedy, NY 14747-9549
Ph: (716) 490-5282 |
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