Mrs Jeannette Shupe, MS is a
Speech-language Pathologist based in Rock Tavern, New York. Mrs Jeannette Shupe is licensed to practice in New York (license number 006764) and her current practice location is
8 Maclean Dr, Rock Tavern, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 258-0139.
NPI number for Mrs Jeannette Shupe is 1336517671 and her current mailing address is Po Box 121, 8 Maclean Dr, Rock Tavern, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336517671.
Healthcare Provider's Profile
Full Name | Mrs Jeannette Shupe |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 8 Maclean Dr, Rock Tavern, 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: 1336517671
- Provider Enumeration Date: 09/03/2015
- Last Update Date: 09/03/2015
Medical Identifiers
Medical identifiers for Mrs Jeannette Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336517671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 006764 (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. Mrs Jeannette Shupe 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 |
Mrs Jeannette Shupe, MS Po Box 121, 8 Maclean Dr, Rock Tavern, NY 12575-0121 Ph: (845) 258-0139 | Mrs Jeannette Shupe, MS 8 Maclean Dr, Rock Tavern, NY 12575-0121 Ph: (845) 258-0139 |
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