Leaudra Hackett, is a
Registered Nurse - School based in Ellicottville, New York. Leaudra Hackett is licensed to practice in New York (license number 891094) and her current practice location is
5873 Us-219, Ellicottville, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 669-2368.
NPI number for Leaudra Hackett is 1073347639 and her current mailing address is 352 E State St, Salamanca, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073347639.
Provider's Profile
| Full Name | Leaudra Hackett |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - School |
|---|
| Location | 5873 Us-219, Ellicottville, 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: 1073347639
- Provider Enumeration Date: 08/27/2024
- Last Update Date: 08/27/2024
Medical Identifiers
Medical identifiers for Leaudra Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073347639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WS0200X | Registered Nurse - School | 891094 (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. Leaudra Hackett 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 |
|---|
Leaudra Hackett,
352 E State St,
Salamanca, NY 14779-1226
Ph: () - | Leaudra Hackett,
5873 Us-219,
Ellicottville, NY 14731
Ph: (716) 669-2368 |
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