Ms Susan Derda, RN is a
Registered Nurse based in Feura Bush, New York. Ms Susan Derda is licensed to practice in New York (license number 5074581) and her current practice location is
2164 Indian Fields Rd, Feura Bush, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 768-2217.
NPI number for Ms Susan Derda is 1952676066 and her current mailing address is 2164 Indian Fields Rd, Feura Bush, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952676066.
Provider's Profile
| Full Name | Ms Susan Derda |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 2164 Indian Fields Rd, Feura Bush, 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: 1952676066
- Provider Enumeration Date: 03/22/2012
- Last Update Date: 03/22/2012
Medical Identifiers
Medical identifiers for Ms Susan Derda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952676066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 5074581 (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 Susan Derda 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 Susan Derda, RN
2164 Indian Fields Rd,
Feura Bush, NY 12067-1920
Ph: (518) 768-2217 | Ms Susan Derda, RN
2164 Indian Fields Rd,
Feura Bush, NY 12067-1920
Ph: (518) 768-2217 |
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