Paula M Willard, is a
Licensed Practical Nurse based in Freehold, New York. Paula M Willard is licensed to practice in New York (license number 155517-1) and her current practice location is
10317 Route 32, Freehold, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 966-8104.
NPI number for Paula M Willard is 1619186962 and her current mailing address is 10317 Route 32, Freehold, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619186962.
Provider's Profile
| Full Name | Paula M Willard |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 10317 Route 32, Freehold, 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: 1619186962
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Paula M Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619186962 | NPI | - | NPPES |
| 01902381 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 155517-1 (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. Paula M Willard 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 |
|---|
Paula M Willard,
10317 Route 32,
Freehold, NY 12431-5324
Ph: (518) 966-8104 | Paula M Willard,
10317 Route 32,
Freehold, NY 12431-5324
Ph: (518) 966-8104 |
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