Mrs Kandy Lyn Van Wagner, is a
Licensed Practical Nurse based in Whitney Point, New York. Mrs Kandy Lyn Van Wagner is licensed to practice in New York (license number 329567) and her current practice location is
33 River Rd, Whitney Point, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 371-1046.
NPI number for Mrs Kandy Lyn Van Wagner is 1366931974 and her current mailing address is Po Box 217, Whitney Point, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366931974.
Provider's Profile
Full Name | Mrs Kandy Lyn Van Wagner |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 33 River Rd, Whitney Point, 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: 1366931974
- Provider Enumeration Date: 05/09/2018
- Last Update Date: 05/09/2018
Medical Identifiers
Medical identifiers for Mrs Kandy Lyn Van Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366931974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 329567 (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 Kandy Lyn Van Wagner 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 Kandy Lyn Van Wagner, Po Box 217, Whitney Point, NY 13862-0217 Ph: (607) 371-1046 | Mrs Kandy Lyn Van Wagner, 33 River Rd, Whitney Point, NY 13862-7704 Ph: (607) 371-1046 |
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