Ellen J Dart, is a
Registered Nurse - General Practice based in Glen Spey, New York. Ellen J Dart is licensed to practice in New York (license number 4781121) and her current practice location is
961 County Route 31, Glen Spey, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 856-3789.
NPI number for Ellen J Dart is 1427689025 and her current mailing address is Po Box 359, Glen Spey, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427689025.
Provider's Profile
Full Name | Ellen J Dart |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 961 County Route 31, Glen Spey, 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: 1427689025
- Provider Enumeration Date: 02/01/2020
- Last Update Date: 02/01/2020
Medical Identifiers
Medical identifiers for Ellen J Dart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427689025 | NPI | - | NPPES |
4781121 | Other | NY | RN LIC NBR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 4781121 (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. Ellen J Dart 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 |
Ellen J Dart, Po Box 359, Glen Spey, NY 12737-0359 Ph: (845) 856-3789 | Ellen J Dart, 961 County Route 31, Glen Spey, NY 12737-5828 Ph: (845) 856-3789 |
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