Mrs Trudy Johnette Mack, LPN - Licensed Practical Nurse in Rochester, NY

Mrs Trudy Johnette Mack, LPN is a Licensed Practical Nurse based in Rochester, New York. Mrs Trudy Johnette Mack is licensed to practice in New York (license number 284904) and her current practice location is 165 N. Water Street, Apt. 205, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at (585) 286-0097.

NPI number for Mrs Trudy Johnette Mack is 1003061839 and her current mailing address is 165 N. Water Street, Apt. 205, Rochester, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003061839.

Contact Information

Mrs Trudy Johnette Mack, LPN
165 N. Water Street, Apt. 205,
Rochester, NY 14604
(585) 286-0097
Not Available



Provider's Profile

Full NameMrs Trudy Johnette Mack
GenderFemale
SpecialityLicensed Practical Nurse
Location165 N. Water Street, Rochester, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003061839
  • Provider Enumeration Date: 11/20/2008
  • Last Update Date: 11/20/2008

Medical Identifiers

Medical identifiers for Mrs Trudy Johnette Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003061839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 284904 (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. Mrs Trudy Johnette Mack 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
Mrs Trudy Johnette Mack, LPN
165 N. Water Street, Apt. 205,
Rochester, NY 14604

Ph: (585) 286-0097
Mrs Trudy Johnette Mack, LPN
165 N. Water Street, Apt. 205,
Rochester, NY 14604

Ph: (585) 286-0097

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Licensed Practical Nurse Nurses in Rochester, NY

Ms. Zia W. Harris,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1569 Elmwood Ave, Apt. 2, Rochester, NY 14620
Phone: 585-355-4090    
Ms. Michelle Jennifer Newkirk, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 190 Wolcott Ave, Rochester, NY 14606
Phone: 585-797-5259    
Thomasina Nichole Gainey, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 29 Maxwell Ave, Rochester, NY 14619
Phone: 585-360-8288    
Ritinella Lewin, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 229 Clairmount St, Rochester, NY 14621
Phone: 585-544-8521    
Stephanie Flint, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 61 Saint Johns Park, Rochester, NY 14612
Phone: 585-402-5171    
Paula A Michael, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 107 Sterling St, Rochester, NY 14606
Phone: 585-319-6177    

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