Michelle Marlys South, LVN - Licensed Vocational Nurse in Boulder Creek, CA

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Michelle Marlys South, LVN is a Licensed Vocational Nurse based in Boulder Creek, California. Michelle Marlys South is licensed to practice in California (license number 220999) and her current practice location is 18285 China Grade Rd, #3, Boulder Creek, California. She can be reached at her office (for appointments etc.) via phone at (831) 419-3116.

NPI number for Michelle Marlys South is 1699045450 and her current mailing address is 18285 China Grade Rd Spc 3, Boulder Creek, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699045450.

Contact Information

Michelle Marlys South, LVN
18285 China Grade Rd, #3,
Boulder Creek, CA 95006-9188
(831) 419-3116
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Marlys South
GenderFemale
SpecialityLicensed Vocational Nurse
Location18285 China Grade Rd, Boulder Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699045450
  • Provider Enumeration Date: 01/10/2012
  • Last Update Date: 01/10/2012

Medical Identifiers

Medical identifiers for Michelle Marlys South such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699045450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 220999 (California)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. Michelle Marlys South 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 AddressPractice Location Address
Michelle Marlys South, LVN
18285 China Grade Rd Spc 3,
Boulder Creek, CA 95006-9100

Ph: (831) 419-3116		Michelle Marlys South, LVN
18285 China Grade Rd, #3,
Boulder Creek, CA 95006-9188

Ph: (831) 419-3116

Reviews and Comments


Licensed Vocational Nurse Nurses in Boulder Creek, CA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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