Wanda D'orta, is a
Licensed Practical Nurse based in Grand Gorge, New York. Wanda D'orta is licensed to practice in New York (license number 281966) and her current practice location is
39722 State Highway 23, Grand Gorge, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 441-0630.
NPI number for Wanda D'orta is 1174975536 and her current mailing address is 39722 State Highway 23, Grand Gorge, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174975536.
Provider's Profile
| Full Name | Wanda D'orta |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 39722 State Highway 23, Grand Gorge, 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: 1174975536
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 07/11/2016
Medical Identifiers
Medical identifiers for Wanda D'orta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174975536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 281966 (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. Wanda D'orta 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 |
|---|
Wanda D'orta,
39722 State Highway 23,
Grand Gorge, NY 12434-1310
Ph: (607) 441-0630 | Wanda D'orta,
39722 State Highway 23,
Grand Gorge, NY 12434-1310
Ph: (607) 441-0630 |
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