Mrs Carissa Pacheco, LPN is a
Licensed Practical Nurse based in Pine Island, New York. Mrs Carissa Pacheco is licensed to practice in New York (license number 308220) and her current practice location is
538 B Liberty Corners Rd, Pine Island, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 709-1578.
NPI number for Mrs Carissa Pacheco is 1760843858 and her current mailing address is 538 B Liberty Corners Rd, Pine Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760843858.
Provider's Profile
| Full Name | Mrs Carissa Pacheco |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 538 B Liberty Corners Rd, Pine Island, 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: 1760843858
- Provider Enumeration Date: 03/16/2016
- Last Update Date: 03/16/2016
Medical Identifiers
Medical identifiers for Mrs Carissa Pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760843858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 308220 (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 Carissa Pacheco 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 Carissa Pacheco, LPN
538 B Liberty Corners Rd,
Pine Island, NY 10969
Ph: (845) 709-1578 | Mrs Carissa Pacheco, LPN
538 B Liberty Corners Rd,
Pine Island, NY 10969
Ph: (845) 709-1578 |
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