| Jennine C Brogan, APRN | |
|
1103 Westwood Dr Ste B, Hamilton, MT 59840-2342 | |
| (406) 375-4119 | |
| (406) 541-2140 |
| Full Name | Jennine C Brogan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1103 Westwood Dr Ste B, 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 |
| 100006475 | Medicaid | MT | |
| 1063532653 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NUR-APRN-LIC-100801 (Montana) | Primary |
| Entity Name | Marcus Daly Memorial Hospital Corporation |
|---|---|
| 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 1103 Westwood Dr Ste B, Hamilton, MT 59840-2342 Ph: (406) 375-4119 |
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 Fax: 406-375-4884 | |
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 |