Generose L Colligan, is a
Licensed Practical Nurse based in Wild Rose, Wisconsin. Generose L Colligan is licensed to practice in Wisconsin (license number 318070) and her current practice location is
N5754 County Road Aa, Wild Rose, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 622-4969.
NPI number for Generose L Colligan is 1336698653 and her current mailing address is N5754 County Road Aa, Wild Rose, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336698653.
Provider's Profile
Full Name | Generose L Colligan |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | N5754 County Road Aa, Wild Rose, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336698653
- Provider Enumeration Date: 09/27/2016
- Last Update Date: 09/27/2016
Medical Identifiers
Medical identifiers for Generose L Colligan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336698653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 318070 (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. Generose L Colligan 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 |
Generose L Colligan, N5754 County Road Aa, Wild Rose, WI 54984-5900 Ph: (920) 622-4969 | Generose L Colligan, N5754 County Road Aa, Wild Rose, WI 54984-5900 Ph: (920) 622-4969 |
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