Mrs Judith A Blake-krickovich, LPN is a
Clinical Nurse Specialist - Adult Health based in Auburn, New York. Mrs Judith A Blake-krickovich is licensed to practice in New York (license number 3645A2200X) and her current practice location is
5 Fort St, Auburn, Auburn, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 730-7353.
NPI number for Mrs Judith A Blake-krickovich is 1255636288 and her current mailing address is 5 Fort St, Auburn, Auburn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255636288.
Provider's Profile
Full Name | Mrs Judith A Blake-krickovich |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 5 Fort St, Auburn, 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: 1255636288
- Provider Enumeration Date: 01/23/2011
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Mrs Judith A Blake-krickovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255636288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 3645A2200X (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 Judith A Blake-krickovich 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 Judith A Blake-krickovich, LPN 5 Fort St, Auburn, Auburn, NY 13021-3731 Ph: (315) 730-7353 | Mrs Judith A Blake-krickovich, LPN 5 Fort St, Auburn, Auburn, NY 13021-3731 Ph: (315) 730-7353 |
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