Miss Rebecca Bordeaux Provost, is a
Student In An Organized Health Care Education/training Program based in Summerville, South Carolina. Miss Rebecca Bordeaux Provost is licensed to practice in * (Not Available) (license number ) and her current practice location is
121 Westoe St, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 609-6805.
NPI number for Miss Rebecca Bordeaux Provost is 1538921721 and her current mailing address is 121 Westoe St, Summerville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538921721.
Provider's Profile
| Full Name | Miss Rebecca Bordeaux Provost |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 121 Westoe St, Summerville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538921721
- Provider Enumeration Date: 01/24/2024
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Miss Rebecca Bordeaux Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538921721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Miss Rebecca Bordeaux Provost 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 |
|---|
Miss Rebecca Bordeaux Provost,
121 Westoe St,
Summerville, SC 29483-8155
Ph: (843) 609-6805 | Miss Rebecca Bordeaux Provost,
121 Westoe St,
Summerville, SC 29483-8155
Ph: (843) 609-6805 |
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