Antonette Backert, is a
Psychologist - School based in Lake View, New York. Antonette Backert is licensed to practice in New York (license number 2770144) and her current practice location is
6491 Burke Rd, Lake View, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 200-6828.
NPI number for Antonette Backert is 1962154161 and her current mailing address is 6491 Burke Rd, Lake View, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962154161.
Healthcare Provider's Profile
Full Name | Antonette Backert |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 6491 Burke Rd, Lake View, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962154161
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 01/19/2022
Medical Identifiers
Medical identifiers for Antonette Backert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962154161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 2770144 (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. Antonette Backert 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 |
Antonette Backert, 6491 Burke Rd, Lake View, NY 14085-9733 Ph: () - | Antonette Backert, 6491 Burke Rd, Lake View, NY 14085-9733 Ph: (716) 200-6828 |
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