Shirley Jean Serr, is a
Licensed Vocational Nurse based in Riverhead, New York. Shirley Jean Serr is licensed to practice in New York (license number 092428021) and her current practice location is
525 Riverleigh Ave, Lot M8, Riverhead, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 775-6749.
NPI number for Shirley Jean Serr is 1720482078 and her current mailing address is 525 Riverleigh Ave, Lot M8, Riverhead, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720482078.
Provider's Profile
| Full Name | Shirley Jean Serr |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 525 Riverleigh Ave, Riverhead, 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: 1720482078
- Provider Enumeration Date: 10/15/2014
- Last Update Date: 02/07/2020
Medical Identifiers
Medical identifiers for Shirley Jean Serr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720482078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 092428021 (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. Shirley Jean Serr 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 |
|---|
Shirley Jean Serr,
525 Riverleigh Ave, Lot M8,
Riverhead, NY 11901-3609
Ph: (631) 775-6749 | Shirley Jean Serr,
525 Riverleigh Ave, Lot M8,
Riverhead, NY 11901-3609
Ph: (631) 775-6749 |
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