Trista Jamie Teets, is a
Nurse Practitioner - Family physician based in Brockport, New York. Trista Jamie Teets is licensed to practice in New York (license number 357548) and her current practice location is 300 West Ave, Brockport, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 637-3905.
NPI number for Trista Jamie Teets is 1083441703 and her current mailing address is 174 Gary Dr, Brockport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083441703.
Physician's Profile
| Full Name | Trista Jamie Teets |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 300 West Ave, Brockport, 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: 1083441703
- Provider Enumeration Date: 09/17/2024
- Last Update Date: 07/31/2025
Medical Identifiers
Medical identifiers for Trista Jamie Teets such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083441703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 751854-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 357548 (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. Trista Jamie Teets 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 |
|---|
Trista Jamie Teets,
174 Gary Dr,
Brockport, NY 14420-2672
Ph: (585) 485-3024 | Trista Jamie Teets,
300 West Ave,
Brockport, NY 14420-1118
Ph: (585) 637-3905 |
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