Mary Lou Herbst, LPN is a
Licensed Practical Nurse based in Lake Mills, Wisconsin. Mary Lou Herbst is licensed to practice in Wisconsin (license number 315524-31) and her current practice location is
555 Connor Ct, Lake Mills, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 342-7748.
NPI number for Mary Lou Herbst is 1831438407 and her current mailing address is 555 Connor Ct, Lake Mills, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831438407.
Provider's Profile
Full Name | Mary Lou Herbst |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 555 Connor Ct, Lake Mills, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831438407
- Provider Enumeration Date: 02/02/2013
- Last Update Date: 02/02/2013
Medical Identifiers
Medical identifiers for Mary Lou Herbst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831438407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 315524-31 (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 Lou Herbst 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 Lou Herbst, LPN 555 Connor Ct, Lake Mills, WI 53551-1665 Ph: (920) 342-7748 | Mary Lou Herbst, LPN 555 Connor Ct, Lake Mills, WI 53551-1665 Ph: (920) 342-7748 |
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