Mrs Rachelle Vander Dussen, RN is a
Registered Nurse based in Escalon, California. Mrs Rachelle Vander Dussen is licensed to practice in California (license number 625600) and her current practice location is
19467 Sexton Rd, Escalon, California. She can be reached at her office (for appointments etc.) via phone at
(209) 402-8038.
NPI number for Mrs Rachelle Vander Dussen is 1699973768 and her current mailing address is 19467 Sexton Rd, Escalon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699973768.
Provider's Profile
| Full Name | Mrs Rachelle Vander Dussen |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 19467 Sexton Rd, Escalon, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699973768
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 10/05/2007
Medical Identifiers
Medical identifiers for Mrs Rachelle Vander Dussen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699973768 | NPI | - | NPPES |
| EPS012310 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| RVN001740 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 625600 (California) | 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 Rachelle Vander Dussen 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 Rachelle Vander Dussen, RN
19467 Sexton Rd,
Escalon, CA 95320-9711
Ph: () - | Mrs Rachelle Vander Dussen, RN
19467 Sexton Rd,
Escalon, CA 95320
Ph: (209) 402-8038 |
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