Courtney Primm, is a
Licensed Vocational Nurse based in Detroit, Texas. Courtney Primm is licensed to practice in Texas (license number 196006) and her current practice location is
145 1st St Ne, Detroit, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 249-1206.
NPI number for Courtney Primm is 1013417591 and her current mailing address is 145 1st St Ne, Detroit, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013417591.
Provider's Profile
| Full Name | Courtney Primm |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 145 1st St Ne, Detroit, 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: 1013417591
- Provider Enumeration Date: 02/20/2018
- Last Update Date: 02/20/2018
Medical Identifiers
Medical identifiers for Courtney Primm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013417591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 196006 (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. Courtney Primm 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 |
|---|
Courtney Primm,
145 1st St Ne,
Detroit, TX 75436-1969
Ph: () - | Courtney Primm,
145 1st St Ne,
Detroit, TX 75436-1969
Ph: (903) 249-1206 |
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