Mrs Rebekah June Tisdale, FNP-BC is a
Nurse Practitioner - Family based in Waddington, New York. Mrs Rebekah June Tisdale is licensed to practice in New York (license number 354223) and her current practice location is
4 Montgomery Heights, Waddington, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 388-7872.
NPI number for Mrs Rebekah June Tisdale is 1295566388 and her current mailing address is 4 Montgomery Heights, Waddington, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295566388.
Provider's Profile
Full Name | Mrs Rebekah June Tisdale |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4 Montgomery Heights, Waddington, 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: 1295566388
- Provider Enumeration Date: 08/09/2024
- Last Update Date: 11/27/2024
Medical Identifiers
Medical identifiers for Mrs Rebekah June Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295566388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 354223 (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 Rebekah June Tisdale 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 Rebekah June Tisdale, FNP-BC 4 Montgomery Heights, Waddington, NY 13694 Ph: (315) 388-7872 | Mrs Rebekah June Tisdale, FNP-BC 4 Montgomery Heights, Waddington, NY 13694 Ph: (315) 388-7872 |
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