Mrs Autumn Marie Tucker, LPN is a
Licensed Practical Nurse based in Hartford, New York. Mrs Autumn Marie Tucker is licensed to practice in New York (license number 297951-1) and her current practice location is
7711 State Route 40, Hartford, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 932-6694.
NPI number for Mrs Autumn Marie Tucker is 1124346366 and her current mailing address is 7711 State Route 40, Hartford, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124346366.
Provider's Profile
| Full Name | Mrs Autumn Marie Tucker |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 7711 State Route 40, Hartford, 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: 1124346366
- Provider Enumeration Date: 05/12/2010
- Last Update Date: 05/12/2010
Medical Identifiers
Medical identifiers for Mrs Autumn Marie Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124346366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 297951-1 (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. Mrs Autumn Marie Tucker 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 |
|---|
Mrs Autumn Marie Tucker, LPN
7711 State Route 40,
Hartford, NY 12838-1801
Ph: (518) 932-6694 | Mrs Autumn Marie Tucker, LPN
7711 State Route 40,
Hartford, NY 12838-1801
Ph: (518) 932-6694 |
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