Vickie Consuella71 Bush, is a
In Home Supportive Care physician based in Valdosta, Georgia. Vickie Consuella71 Bush is licensed to practice in * (Not Available) (license number ) and her current practice location is 3701 Bermuda Run Dr, Valdosta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 292-0021.
NPI number for Vickie Consuella71 Bush is 1912464702 and her current mailing address is 3701 Bermuda Run Dr, Valdosta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912464702.
Physician's Profile
| Full Name | Vickie Consuella71 Bush |
|---|
| Gender | Female |
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| Speciality | In Home Supportive Care |
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| Location | 3701 Bermuda Run Dr, Valdosta, Georgia |
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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: 1912464702
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 02/28/2019
Medical Identifiers
Medical identifiers for Vickie Consuella71 Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912464702 | NPI | - | NPPES |
| 456669 | Other | GA | ARRT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 456669 (Georgia) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | 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. Vickie Consuella71 Bush 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 |
|---|
Vickie Consuella71 Bush,
3701 Bermuda Run Dr,
Valdosta, GA 31605-1059
Ph: (229) 292-0021 | Vickie Consuella71 Bush,
3701 Bermuda Run Dr,
Valdosta, GA 31605-1059
Ph: (229) 292-0021 |
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