Ms Bethannie J Shortall, RN is a
Registered Nurse based in Waterport, New York. Ms Bethannie J Shortall is licensed to practice in New York (license number 682264-01) and her current practice location is
1984 Main St, Waterport, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 664-8975.
NPI number for Ms Bethannie J Shortall is 1912637109 and her current mailing address is 1984 Main St, Waterport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912637109.
Provider's Profile
| Full Name | Ms Bethannie J Shortall |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 1984 Main St, Waterport, 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: 1912637109
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 06/13/2022
Medical Identifiers
Medical identifiers for Ms Bethannie J Shortall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912637109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 682264-01 (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. Ms Bethannie J Shortall 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 |
|---|
Ms Bethannie J Shortall, RN
1984 Main St,
Waterport, NY 14571-9797
Ph: (585) 664-8975 | Ms Bethannie J Shortall, RN
1984 Main St,
Waterport, NY 14571-9797
Ph: (585) 664-8975 |
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