Nicole Ray Tychostup, RN - Registered Nurse in Waterford, NY

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Nicole Ray Tychostup, RN is a Registered Nurse - Perinatal based in Waterford, New York. Nicole Ray Tychostup is licensed to practice in New York (license number 700535) and her current practice location is 107 4th St, Waterford, New York. She can be reached at her office (for appointments etc.) via phone at (228) 297-6071.

NPI number for Nicole Ray Tychostup is 1013776137 and her current mailing address is 107 4th St, Waterford, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013776137.

Contact Information

Nicole Ray Tychostup, RN
107 4th St,
Waterford, NY 12188-2025
(228) 297-6071
Not Available

Map and Direction




Provider's Profile

Full NameNicole Ray Tychostup
GenderFemale
SpecialityRegistered Nurse - Perinatal
Location107 4th St, Waterford, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013776137
  • Provider Enumeration Date: 03/19/2024
  • Last Update Date: 03/19/2024

Medical Identifiers

Medical identifiers for Nicole Ray Tychostup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013776137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management 700535 (New York)Secondary
163WP1700XRegistered Nurse - Perinatal 700535 (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. Nicole Ray Tychostup 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 AddressPractice Location Address
Nicole Ray Tychostup, RN
107 4th St,
Waterford, NY 12188-2025

Ph: (228) 297-6071		Nicole Ray Tychostup, RN
107 4th St,
Waterford, NY 12188-2025

Ph: (228) 297-6071

Reviews and Comments


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Mrs. Brandy Gagliardi, R.N.
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Medicare: Not Enrolled in Medicare
Practice Location: 125 Middletown Rd, Waterford, NY 12188
Phone: 518-237-0800    Fax: 518-237-7083

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.