Mary Ann Bothun, RN is a
Registered Nurse based in Dawson, Minnesota. Mary Ann Bothun is licensed to practice in Minnesota (license number 2517858) and her current practice location is
1282 Walnut St, Dawson, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 312-2133.
NPI number for Mary Ann Bothun is 1811734148 and her current mailing address is 2558 180th St, Canby, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811734148.
Provider's Profile
Full Name | Mary Ann Bothun |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1282 Walnut St, Dawson, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811734148
- Provider Enumeration Date: 07/12/2024
- Last Update Date: 07/12/2024
Medical Identifiers
Medical identifiers for Mary Ann Bothun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811734148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2517858 (Minnesota) | 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 Ann Bothun 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 Ann Bothun, RN 2558 180th St, Canby, MN 56220-3395 Ph: (320) 444-8234 | Mary Ann Bothun, RN 1282 Walnut St, Dawson, MN 56232-2333 Ph: (320) 312-2133 |
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