Shannon Nicole Degroff, LPN is a
Licensed Practical Nurse based in Schoharie, New York. Shannon Nicole Degroff is licensed to practice in New York (license number 290397) and her current practice location is
183 Terrace Mtn Rd, Schoharie, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 729-7261.
NPI number for Shannon Nicole Degroff is 1841923299 and her current mailing address is Po Box 58, Schoharie, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841923299.
Provider's Profile
| Full Name | Shannon Nicole Degroff |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 183 Terrace Mtn Rd, Schoharie, 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: 1841923299
- Provider Enumeration Date: 07/04/2022
- Last Update Date: 07/04/2022
Medical Identifiers
Medical identifiers for Shannon Nicole Degroff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841923299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 290397 (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. Shannon Nicole Degroff 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 |
|---|
Shannon Nicole Degroff, LPN
Po Box 58,
Schoharie, NY 12157-0058
Ph: (518) 729-7262 | Shannon Nicole Degroff, LPN
183 Terrace Mtn Rd,
Schoharie, NY 12157-2412
Ph: (518) 729-7261 |
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