Holly Bushong, FNP-C is a
Nurse Practitioner - Family based in Ladoga, Indiana. Holly Bushong is licensed to practice in Indiana (license number 71014493A) and her current practice location is
300 E Main St Ste 2, Ladoga, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 946-3331.
NPI number for Holly Bushong is 1558143149 and her current mailing address is 300 E Main St Ste 2, Ladoga, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558143149.
Provider's Profile
| Full Name | Holly Bushong |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 300 E Main St Ste 2, Ladoga, Indiana |
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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: 1558143149
- Provider Enumeration Date: 10/18/2023
- Last Update Date: 10/18/2023
Medical Identifiers
Medical identifiers for Holly Bushong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558143149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 71014493A (Indiana) | 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. Holly Bushong 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 |
|---|
Holly Bushong, FNP-C
300 E Main St Ste 2,
Ladoga, IN 47954-7046
Ph: (765) 946-3331 | Holly Bushong, FNP-C
300 E Main St Ste 2,
Ladoga, IN 47954-7046
Ph: (765) 946-3331 |
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