Mary Jane King, is a
Licensed Practical Nurse based in Mapaville, Missouri. Mary Jane King is licensed to practice in Missouri (license number 2001004925) and her current practice location is
3657 Baptist Park Rd, Mapaville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 931-0080.
NPI number for Mary Jane King is 1386477834 and her current mailing address is 565 Wall St, Herculaneum, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386477834.
Provider's Profile
Full Name | Mary Jane King |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3657 Baptist Park Rd, Mapaville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386477834
- Provider Enumeration Date: 08/21/2024
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Mary Jane King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386477834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 2001004925 (Missouri) | 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 Jane King 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 Jane King, 565 Wall St, Herculaneum, MO 63048-1126 Ph: (573) 701-6748 | Mary Jane King, 3657 Baptist Park Rd, Mapaville, MO 63065 Ph: (636) 931-0080 |
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