Dr Nancy Jo Evangelista, PHD is a
Psychologist - Clinical Child & Adolescent based in Alfred, New York. Dr Nancy Jo Evangelista is licensed to practice in New York (license number 009840-1) and her current practice location is
10 Church St, Alfred, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 968-0616.
NPI number for Dr Nancy Jo Evangelista is 1699808519 and her current mailing address is 10 Church St, Alfred, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699808519.
Healthcare Provider's Profile
| Full Name | Dr Nancy Jo Evangelista |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 10 Church St, Alfred, 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: 1699808519
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Nancy Jo Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699808519 | NPI | - | NPPES |
| 11514985 | Other | NY | CAHQ UNIVERSAL CREDENTIAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 009840-1 (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. Dr Nancy Jo Evangelista 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 |
|---|
Dr Nancy Jo Evangelista, PHD
10 Church St,
Alfred, NY 14802-1102
Ph: (607) 968-0616 | Dr Nancy Jo Evangelista, PHD
10 Church St,
Alfred, NY 14802-1102
Ph: (607) 968-0616 |
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