Mrs Keisha M Jaquay, LPN is a
Licensed Practical Nurse based in Dolgeville, New York. Mrs Keisha M Jaquay is licensed to practice in New York (license number 270002) and her current practice location is
66 Van Buren St, Dolgeville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 429-5058.
NPI number for Mrs Keisha M Jaquay is 1972733426 and her current mailing address is 66 Van Buren St, Dolgeville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972733426.
Provider's Profile
| Full Name | Mrs Keisha M Jaquay |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 66 Van Buren St, Dolgeville, 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: 1972733426
- Provider Enumeration Date: 07/17/2009
- Last Update Date: 07/17/2009
Medical Identifiers
Medical identifiers for Mrs Keisha M Jaquay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972733426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 270002 (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 Keisha M Jaquay 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 Keisha M Jaquay, LPN
66 Van Buren St,
Dolgeville, NY 13329-1360
Ph: (315) 429-5058 | Mrs Keisha M Jaquay, LPN
66 Van Buren St,
Dolgeville, NY 13329-1360
Ph: (315) 429-5058 |
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