Mrs Mary Catherine Brogdon, LPN is a
Licensed Practical Nurse based in Valparaiso, Florida. Mrs Mary Catherine Brogdon is licensed to practice in Florida (license number PN373341) and her current practice location is
379 Edge Ave, Valparaiso, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 833-4125.
NPI number for Mrs Mary Catherine Brogdon is 1972792240 and her current mailing address is 221 Hospital Dr Ne, Fort Walton Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972792240.
Provider's Profile
| Full Name | Mrs Mary Catherine Brogdon |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 379 Edge Ave, Valparaiso, Florida |
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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: 1972792240
- Provider Enumeration Date: 10/23/2007
- Last Update Date: 10/23/2007
Medical Identifiers
Medical identifiers for Mrs Mary Catherine Brogdon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972792240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN373341 (Florida) | 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 Catherine Brogdon 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 Catherine Brogdon, LPN
221 Hospital Dr Ne,
Fort Walton Beach, FL 32548-5066
Ph: (850) 833-9240 | Mrs Mary Catherine Brogdon, LPN
379 Edge Ave,
Valparaiso, FL 32580-1033
Ph: (850) 833-4125 |
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