Marva Degazon, is a
Licensed Practical Nurse based in Wayne, New Jersey. Marva Degazon is licensed to practice in New York (license number 198310-1) and her current practice location is
91 Woodhaven Dr, Wayne, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 907-2955.
NPI number for Marva Degazon is 1518324920 and her current mailing address is 91 Woodhaven Dr, Wayne, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518324920.
Provider's Profile
| Full Name | Marva Degazon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 91 Woodhaven Dr, Wayne, 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: 1518324920
- Provider Enumeration Date: 01/15/2016
- Last Update Date: 01/15/2016
Medical Identifiers
Medical identifiers for Marva Degazon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518324920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 198310-1 (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. Marva Degazon 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 |
|---|
Marva Degazon,
91 Woodhaven Dr,
Wayne, NJ 07470-5166
Ph: (973) 907-2955 | Marva Degazon,
91 Woodhaven Dr,
Wayne, NJ 07470-5166
Ph: (973) 907-2955 |
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