Betty Burgess, LVN is a
Licensed Practical Nurse based in Lake Jackson, Texas. Betty Burgess is licensed to practice in Texas (license number 180236) and her current practice location is
107 Mimosa St, Lake Jackson, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 665-2792.
NPI number for Betty Burgess is 1871940346 and her current mailing address is 107 Mimosa St, Lake Jackson, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871940346.
Provider's Profile
| Full Name | Betty Burgess |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 107 Mimosa St, Lake Jackson, Texas |
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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: 1871940346
- Provider Enumeration Date: 05/15/2016
- Last Update Date: 09/07/2020
Medical Identifiers
Medical identifiers for Betty Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871940346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 180236 (Texas) | 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. Betty Burgess 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 |
|---|
Betty Burgess, LVN
107 Mimosa St,
Lake Jackson, TX 77566-5645
Ph: (979) 665-2792 | Betty Burgess, LVN
107 Mimosa St,
Lake Jackson, TX 77566-5645
Ph: (979) 665-2792 |
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