Jennine C Brogan, APRN | |
1190 Westwood Dr, Hamilton, MT 59840-2343 | |
(406) 375-4714 | |
(406) 375-4709 |
Full Name | Jennine C Brogan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1190 Westwood Dr, Hamilton, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063532653 | NPI | - | NPPES |
495954 | Other | CA | LICENSE NUMBER |
1063532653 | Medicaid | ID | |
GR0079700 | Medicaid | CA | |
1063532653 | Medicaid | MT | |
ZZZ13858Z | Other | CA | MEDICARE GRP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 70515 (Montana) | Primary |
Entity Name | Marcus Daly Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20040202001033 |
Mailing Address | Practice Location Address |
---|---|
Jennine C Brogan, APRN 1200 Westwood Dr, Hamilton, MT 59840-2345 Ph: () - | Jennine C Brogan, APRN 1190 Westwood Dr, Hamilton, MT 59840-2343 Ph: (406) 375-4714 |
Jennifer Marie Van De Baan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 Cochise Rd, Hamilton, MT 59840 Phone: 406-369-3971 | |
Jennifer Michelle Huttie, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Westwood Dr Ste I, Hamilton, MT 59840 Phone: 406-363-1100 | |
Ms. Susan Lori Devine, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 N 3rd St, Hamilton, MT 59840 Phone: 406-531-0032 | |
Virginia L. Forbes, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1224 W Main St, Hamilton, MT 59840 Phone: 406-375-4823 Fax: 406-375-4846 | |
Robin Yeargan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1224 W Main St, Hamilton, MT 59840 Phone: 406-375-4823 Fax: 406-375-4846 | |
Mrs. Mary Pat Hansen, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1114 W Main St, South Valley Pediatrics, Hamilton, MT 59840 Phone: 406-363-5013 Fax: 406-363-3714 |