Penny S Cleveland, LPN is a
Licensed Practical Nurse based in Bouckville, New York. Penny S Cleveland is licensed to practice in New York (license number 190682-1) and her current practice location is
6941 State Route 20, Bouckville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 351-0941.
NPI number for Penny S Cleveland is 1902124449 and her current mailing address is 6941 State Route 20, Bouckville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902124449.
Provider's Profile
| Full Name | Penny S Cleveland |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6941 State Route 20, Bouckville, 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: 1902124449
- Provider Enumeration Date: 05/07/2010
- Last Update Date: 05/07/2010
Medical Identifiers
Medical identifiers for Penny S Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902124449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 190682-1 (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. Penny S Cleveland 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 |
|---|
Penny S Cleveland, LPN
6941 State Route 20,
Bouckville, NY 13310-1623
Ph: () - | Penny S Cleveland, LPN
6941 State Route 20,
Bouckville, NY 13310-1623
Ph: (315) 351-0941 |
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