Mr Bobby Underwood, CRNFA is a
Registered Nurse - Registered Nurse First Assistant based in Mount Pleasant, Tennessee. Mr Bobby Underwood is licensed to practice in Tennessee (license number RN0000105025) and his current practice location is
409 Hay Long Ave, Mount Pleasant, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 379-4092.
NPI number for Mr Bobby Underwood is 1972575512 and his current mailing address is 409 Hay Long Ave, Mount Pleasant, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972575512.
Provider's Profile
| Full Name | Mr Bobby Underwood |
|---|
| Gender | Male |
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| Speciality | Registered Nurse - Registered Nurse First Assistant |
|---|
| Location | 409 Hay Long Ave, Mount Pleasant, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972575512
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 02/20/2012
Medical Identifiers
Medical identifiers for Mr Bobby Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972575512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0000X | Registered Nurse - General Practice | RN0000105025 (Tennessee) | Secondary |
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | RN0000105025 (Tennessee) | 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. Mr Bobby Underwood 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 |
|---|
Mr Bobby Underwood, CRNFA
409 Hay Long Ave,
Mount Pleasant, TN 38474-1434
Ph: (931) 379-4092 | Mr Bobby Underwood, CRNFA
409 Hay Long Ave,
Mount Pleasant, TN 38474-1434
Ph: (931) 379-4092 |
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