Michaela Loyola Trudeau, is a
Licensed Practical Nurse based in Fort Ann, New York. Michaela Loyola Trudeau is licensed to practice in New York (license number 311791) and her current practice location is
3402 State Route 196, Fort Ann, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 744-2047.
NPI number for Michaela Loyola Trudeau is 1346586609 and her current mailing address is 3402 State Route 196, Fort Ann, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346586609.
Provider's Profile
Full Name | Michaela Loyola Trudeau |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3402 State Route 196, Fort Ann, 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: 1346586609
- Provider Enumeration Date: 12/13/2012
- Last Update Date: 01/08/2019
Medical Identifiers
Medical identifiers for Michaela Loyola Trudeau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346586609 | NPI | - | NPPES |
03534549 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 311791 (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. Michaela Loyola Trudeau 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 |
Michaela Loyola Trudeau, 3402 State Route 196, Fort Ann, NY 12827-3706 Ph: (518) 744-2047 | Michaela Loyola Trudeau, 3402 State Route 196, Fort Ann, NY 12827-3706 Ph: (518) 744-2047 |
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