Mrs Dawn Bultman, is a
Registered Nurse - General Practice based in Rockford, Michigan. Mrs Dawn Bultman is licensed to practice in Michigan (license number 4704214966) and her current practice location is
6630 Gran Via Ct Ne, Rockford, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 240-3023.
NPI number for Mrs Dawn Bultman is 1922429554 and her current mailing address is 6630 Gran Via Ct Ne, Rockford, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922429554.
Provider's Profile
Full Name | Mrs Dawn Bultman |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 6630 Gran Via Ct Ne, Rockford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922429554
- Provider Enumeration Date: 12/28/2013
- Last Update Date: 12/28/2013
Medical Identifiers
Medical identifiers for Mrs Dawn Bultman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922429554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704214966 (Michigan) | Secondary |
163WG0000X | Registered Nurse - General Practice | 4704214966 (Michigan) | Primary |
163WH0200X | Registered Nurse - Home Health | 4704214966 (Michigan) | Secondary |
163WM0102X | Registered Nurse - Maternal Newborn | 4704214966 (Michigan) | Secondary |
163WN0003X | Registered Nurse - Neonatal, Low-risk | 4704214966 (Michigan) | Secondary |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 4704214966 (Michigan) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 4704214966 (Michigan) | Secondary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 4704214966 (Michigan) | Secondary |
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. Mrs Dawn Bultman 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 |
Mrs Dawn Bultman, 6630 Gran Via Ct Ne, Rockford, MI 49341-9692 Ph: () - | Mrs Dawn Bultman, 6630 Gran Via Ct Ne, Rockford, MI 49341-9692 Ph: (616) 240-3023 |
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