Sandra Douglass, LPN is a
Licensed Practical Nurse based in Pine Plains, New York. Sandra Douglass is licensed to practice in New York (license number 333844) and her current practice location is
344 Stissing Mountain Rd, Pine Plains, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 392-3983.
NPI number for Sandra Douglass is 1992566608 and her current mailing address is 344 Stissing Mountain Rd, Pine Plains, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992566608.
Provider's Profile
| Full Name | Sandra Douglass |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 344 Stissing Mountain Rd, Pine Plains, 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: 1992566608
- Provider Enumeration Date: 01/19/2024
- Last Update Date: 01/19/2024
Medical Identifiers
Medical identifiers for Sandra Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992566608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 333844 (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. Sandra Douglass 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 |
Sandra Douglass, LPN 344 Stissing Mountain Rd, Pine Plains, NY 12567-5455 Ph: (845) 392-3983 | Sandra Douglass, LPN 344 Stissing Mountain Rd, Pine Plains, NY 12567-5455 Ph: (845) 392-3983 |
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