Mandy Marie Boehnert, LPN is a
Licensed Practical Nurse based in Bloomfield, Connecticut. Mandy Marie Boehnert is licensed to practice in Connecticut (license number 035656) and her current practice location is
200 Seabury Dr, Bloomfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 243-4022.
NPI number for Mandy Marie Boehnert is 1992467955 and her current mailing address is 200 Seabury Dr, Bloomfield, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992467955.
Provider's Profile
Full Name | Mandy Marie Boehnert |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 200 Seabury Dr, Bloomfield, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992467955
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 10/07/2021
Medical Identifiers
Medical identifiers for Mandy Marie Boehnert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992467955 | NPI | - | NPPES |
075383 | Other | CT | CCN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 035656 (Connecticut) | 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. Mandy Marie Boehnert 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 |
Mandy Marie Boehnert, LPN 200 Seabury Dr, Bloomfield, CT 06002-5618 Ph: (860) 243-4022 | Mandy Marie Boehnert, LPN 200 Seabury Dr, Bloomfield, CT 06002-5618 Ph: (860) 243-4022 |
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