Jennifer Lackie-shook, RN - Registered Nurse in West Middletown, NY

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Jennifer Lackie-shook, RN is a Registered Nurse based in West Middletown, New York. Jennifer Lackie-shook is licensed to practice in New York (license number 945965) and her current practice location is 15 Fortune Road, West Middletown, New York. She can be reached at her office (for appointments etc.) via phone at (914) 297-3345.

NPI number for Jennifer Lackie-shook is 1831051614 and her current mailing address is 15 Fortune Road, West Middletown, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831051614.

Contact Information

Jennifer Lackie-shook, RN
15 Fortune Road,
West Middletown, NY 10941
(914) 297-3345
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Lackie-shook
GenderFemale
SpecialityRegistered Nurse
Location15 Fortune Road, West Middletown, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831051614
  • Provider Enumeration Date: 12/01/2025
  • Last Update Date: 12/01/2025

Medical Identifiers

Medical identifiers for Jennifer Lackie-shook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831051614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 945965 (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. Jennifer Lackie-shook 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 AddressPractice Location Address
Jennifer Lackie-shook, RN
15 Fortune Road,
West Middletown, NY 10941

Ph: () -		Jennifer Lackie-shook, RN
15 Fortune Road,
West Middletown, NY 10941

Ph: (914) 297-3345

Reviews and Comments


Registered Nurse Nurses in West Middletown, NY

Jose Antonio Sepulveda Jr., REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Fortune Rd, West Middletown, NY 10941
Phone: 845-692-4454    
Mitawa Dohoney,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Fortune Road, West Middletown, NY 10941
Phone: 845-330-1234    
Carrington James,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Fortune Rd, West Middletown, NY 10941
Phone: 888-750-2266    
Erica Corrodus,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 Fortune Road, West Middletown, NY 10941
Phone: 845-343-5556    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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