Bridget Ann Pendley, LPN is a
Licensed Practical Nurse based in Kiln, Mississippi. Bridget Ann Pendley is licensed to practice in Mississippi (license number P322364) and her current practice location is
22463 Fenton Dedeaux Rd, Kiln, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 586-6846.
NPI number for Bridget Ann Pendley is 1417134230 and her current mailing address is 22463 Fenton Dedeaux Rd, Kiln, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417134230.
Provider's Profile
| Full Name | Bridget Ann Pendley |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 22463 Fenton Dedeaux Rd, Kiln, Mississippi |
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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: 1417134230
- Provider Enumeration Date: 01/23/2008
- Last Update Date: 01/23/2008
Medical Identifiers
Medical identifiers for Bridget Ann Pendley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417134230 | NPI | - | NPPES |
| 2297121 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P322364 (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. Bridget Ann Pendley 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 |
|---|
Bridget Ann Pendley, LPN
22463 Fenton Dedeaux Rd,
Kiln, MS 39556-6578
Ph: (228) 586-6846 | Bridget Ann Pendley, LPN
22463 Fenton Dedeaux Rd,
Kiln, MS 39556-6578
Ph: (228) 586-6846 |
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