Mary Paulson, is a
Licensed Practical Nurse based in Riverdale, Michigan. Mary Paulson is licensed to practice in Michigan (license number 4703059762) and her current practice location is
11260 E Fleck Rd, Riverdale, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 763-7568.
NPI number for Mary Paulson is 1790186880 and her current mailing address is 11260 E Fleck Rd, Riverdale, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790186880.
Provider's Profile
Full Name | Mary Paulson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 11260 E Fleck Rd, Riverdale, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790186880
- Provider Enumeration Date: 09/09/2014
- Last Update Date: 09/09/2014
Medical Identifiers
Medical identifiers for Mary Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790186880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703059762 (Michigan) | 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 Paulson 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 Paulson, 11260 E Fleck Rd, Riverdale, MI 48877-9513 Ph: (989) 763-7568 | Mary Paulson, 11260 E Fleck Rd, Riverdale, MI 48877-9513 Ph: (989) 763-7568 |
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