Mary Ellen Spoonhower, LPN is a
Licensed Practical Nurse based in Berkshire, New York. Mary Ellen Spoonhower is licensed to practice in New York (license number 234024-1) and her current practice location is
12433 State Route 38, Berkshire, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 201-5568.
NPI number for Mary Ellen Spoonhower is 1659629160 and her current mailing address is 12433 State Route 38, Po Box 122, Berkshire, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659629160.
Provider's Profile
| Full Name | Mary Ellen Spoonhower |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 12433 State Route 38, Berkshire, 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: 1659629160
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 08/15/2012
Medical Identifiers
Medical identifiers for Mary Ellen Spoonhower such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659629160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 234024-1 (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. Mary Ellen Spoonhower 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 |
|---|
Mary Ellen Spoonhower, LPN
12433 State Route 38, Po Box 122,
Berkshire, NY 13736-2324
Ph: (607) 201-5568 | Mary Ellen Spoonhower, LPN
12433 State Route 38,
Berkshire, NY 13736-2324
Ph: (607) 201-5568 |
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