Mrs Mary Antoinette Bauer, LPN is a
Licensed Practical Nurse based in Maribel, Wisconsin. Mrs Mary Antoinette Bauer is licensed to practice in Wisconsin (license number 19438) and her current practice location is
17417 Devils River Dr, Maribel, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 863-8826.
NPI number for Mrs Mary Antoinette Bauer is 1902191810 and her current mailing address is 17417 Devils River Dr, Maribel, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902191810.
Provider's Profile
| Full Name | Mrs Mary Antoinette Bauer |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 17417 Devils River Dr, Maribel, Wisconsin |
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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: 1902191810
- Provider Enumeration Date: 06/20/2011
- Last Update Date: 06/20/2011
Medical Identifiers
Medical identifiers for Mrs Mary Antoinette Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902191810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 19438 (Wisconsin) | 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. Mrs Mary Antoinette Bauer 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 Mary Antoinette Bauer, LPN
17417 Devils River Dr,
Maribel, WI 54227-9506
Ph: (920) 863-8826 | Mrs Mary Antoinette Bauer, LPN
17417 Devils River Dr,
Maribel, WI 54227-9506
Ph: (920) 863-8826 |
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