Bethany Cervenansky, is a
Licensed Practical Nurse based in Three Lakes, Wisconsin. Bethany Cervenansky is licensed to practice in Wisconsin (license number 310395-031) and her current practice location is
6769 Winkler Rd, Three Lakes, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 546-3983.
NPI number for Bethany Cervenansky is 1619126919 and her current mailing address is Po Box 105, Three Lakes, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619126919.
Provider's Profile
| Full Name | Bethany Cervenansky |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6769 Winkler Rd, Three Lakes, Wisconsin |
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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: 1619126919
- Provider Enumeration Date: 09/11/2008
- Last Update Date: 09/11/2008
Medical Identifiers
Medical identifiers for Bethany Cervenansky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619126919 | NPI | - | NPPES |
| 35068000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 310395-031 (Wisconsin) | 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. Bethany Cervenansky 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 |
|---|
Bethany Cervenansky,
Po Box 105,
Three Lakes, WI 54562-0105
Ph: (715) 546-3983 | Bethany Cervenansky,
6769 Winkler Rd,
Three Lakes, WI 54562-9369
Ph: (715) 546-3983 |
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