Mary Boss Withey, APRN is a
Nurse Practitioner - Family based in North Windham, Connecticut. Mary Boss Withey is licensed to practice in Connecticut (license number 001190) and her current practice location is
141 Tuckie Rd, North Windham, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 465-2610.
NPI number for Mary Boss Withey is 1255768628 and her current mailing address is 112 Mansfield Ave, Willimantic, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255768628.
Provider's Profile
Full Name | Mary Boss Withey |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 141 Tuckie Rd, North Windham, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255768628
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 10/01/2013
Medical Identifiers
Medical identifiers for Mary Boss Withey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255768628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 001190 (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. Mary Boss Withey 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 Boss Withey, APRN 112 Mansfield Ave, Willimantic, CT 06226-2045 Ph: (860) 456-9116 | Mary Boss Withey, APRN 141 Tuckie Rd, North Windham, CT 06256-1317 Ph: (860) 465-2610 |
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