Bonita T Roby, LPN is a
Licensed Practical Nurse based in Durant, Mississippi. Bonita T Roby is licensed to practice in Mississippi (license number P329470) and her current practice location is
1762 Eddisville Rd, Durant, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 955-8188.
NPI number for Bonita T Roby is 1033733951 and her current mailing address is 1762 Eddisville Rd, Durant, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033733951.
Provider's Profile
Full Name | Bonita T Roby |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1762 Eddisville Rd, Durant, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033733951
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 06/06/2020
Medical Identifiers
Medical identifiers for Bonita T Roby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033733951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P329470 (Mississippi) | 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. Bonita T Roby 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 |
Bonita T Roby, LPN 1762 Eddisville Rd, Durant, MS 39063-2910 Ph: (601) 955-8188 | Bonita T Roby, LPN 1762 Eddisville Rd, Durant, MS 39063-2910 Ph: (601) 955-8188 |
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