Ms Maridol Macias Bercilla, LVN in Prescott Valley, AZ - Licensed Vocational Nurse

Ms Maridol Macias Bercilla, LVN is a Licensed Vocational Nurse based in Prescott Valley, Arizona. Ms Maridol Macias Bercilla is licensed to practice in California (license number 273763) and her current practice location is 6101 N Tower Ln Apt A, Prescott Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at (909) 856-7717.

NPI number for Ms Maridol Macias Bercilla is 1629789581 and her current mailing address is 6101 N Tower Ln Apt A, Prescott Valley, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629789581.

Contact Information

	Ms Maridol Macias Bercilla, LVN
	6101 N Tower Ln Apt A, Prescott Valley, AZ 86314-3198
	(909) 856-7717
	Not Available

Provider's Profile

Full Name	Ms Maridol Macias Bercilla
Gender	Female
Speciality	Licensed Vocational Nurse
Location	6101 N Tower Ln Apt A, Prescott Valley, Arizona
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629789581
Provider Enumeration Date: 12/12/2022
Last Update Date: 12/12/2022

Medical Identifiers

Medical identifiers for Ms Maridol Macias Bercilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629789581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	273763 (California)	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. Ms Maridol Macias Bercilla 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
Ms Maridol Macias Bercilla, LVN 6101 N Tower Ln Apt A, Prescott Valley, AZ 86314-3198 Ph: (909) 856-7717	Ms Maridol Macias Bercilla, LVN 6101 N Tower Ln Apt A, Prescott Valley, AZ 86314-3198 Ph: (909) 856-7717

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Ms Maridol Macias Bercilla, LVN - Licensed Vocational Nurse in Prescott Valley, AZ