Mrs Desiree D Plummer, LPN is a
Licensed Practical Nurse based in State Island, New York. Mrs Desiree D Plummer is licensed to practice in New Jersey (license number 1860801) and her current practice location is
518 Kissel Ave, State Island, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 981-9606.
NPI number for Mrs Desiree D Plummer is 1790950673 and her current mailing address is 4309 Ave I, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790950673.
Provider's Profile
| Full Name | Mrs Desiree D Plummer |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 518 Kissel Ave, State 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: 1790950673
- Provider Enumeration Date: 04/23/2008
- Last Update Date: 04/23/2008
Medical Identifiers
Medical identifiers for Mrs Desiree D Plummer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790950673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 1860801 (New Jersey) | 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 Desiree D Plummer 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 Desiree D Plummer, LPN
4309 Ave I,
Brooklyn, NY 11210
Ph: (718) 377-3543 | Mrs Desiree D Plummer, LPN
518 Kissel Ave,
State Island, NY 10309
Ph: (718) 981-9606 |
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