Marybeth Hogan, RN is a
Counselor - Mental Health based in Jackson, Tennessee. Marybeth Hogan is licensed to practice in * (Not Available) (license number ) and her current practice location is
238 Summar Dr, Jackson, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 935-8200.
NPI number for Marybeth Hogan is 1841312311 and her current mailing address is 1804 Highway 45 Byp, Suite 604, Jackson, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841312311.
Provider's Profile
Full Name | Marybeth Hogan |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 238 Summar Dr, Jackson, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841312311
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 08/10/2009
Medical Identifiers
Medical identifiers for Marybeth Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841312311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 122652 (Tennessee) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Marybeth Hogan 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 |
Marybeth Hogan, RN 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | Marybeth Hogan, RN 238 Summar Dr, Jackson, TN 38301-3906 Ph: (731) 935-8200 |
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