Mary A Bostic, is a
Registered Nurse based in Ashwaubenon, Wisconsin. Mary A Bostic is licensed to practice in Wisconsin (license number 178578030) and her current practice location is
2979 Allied St, Ashwaubenon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 549-6600.
NPI number for Mary A Bostic is 1306114772 and her current mailing address is 2422 N Grandview Blvd, Waukesha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306114772.
Provider's Profile
| Full Name | Mary A Bostic |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 2979 Allied St, Ashwaubenon, Wisconsin |
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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: 1306114772
- Provider Enumeration Date: 12/13/2011
- Last Update Date: 12/13/2011
Medical Identifiers
Medical identifiers for Mary A Bostic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306114772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 178578030 (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. Mary A Bostic 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 |
|---|
Mary A Bostic,
2422 N Grandview Blvd,
Waukesha, WI 53188-6105
Ph: (262) 549-6600 | Mary A Bostic,
2979 Allied St,
Ashwaubenon, WI 54304-5567
Ph: (262) 549-6600 |
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