Ms Reeda Irene Clark, LPN is a
Licensed Practical Nurse based in Erin, New York. Ms Reeda Irene Clark is licensed to practice in New York (license number 153698-1) and her current practice location is
236 Park Station Rd, Erin, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 739-1504.
NPI number for Ms Reeda Irene Clark is 1821296369 and her current mailing address is 236 Park Station Rd, Erin, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821296369.
Provider's Profile
Full Name | Ms Reeda Irene Clark |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 236 Park Station Rd, Erin, 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: 1821296369
- Provider Enumeration Date: 07/06/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Reeda Irene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821296369 | NPI | - | NPPES |
01223427 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 153698-1 (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 Reeda Irene Clark 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 Reeda Irene Clark, LPN 236 Park Station Rd, Erin, NY 14838-9735 Ph: (607) 739-1504 | Ms Reeda Irene Clark, LPN 236 Park Station Rd, Erin, NY 14838-9735 Ph: (607) 739-1504 |
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