Mrs Rose Marie Theresa Rakocy, LPN is a
Licensed Practical Nurse based in Shalimar, Florida. Mrs Rose Marie Theresa Rakocy is licensed to practice in Florida (license number PN1181861) and her current practice location is
1350 Joe Martin Cir, Shalimar, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 833-4339.
NPI number for Mrs Rose Marie Theresa Rakocy is 1184803223 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 1184803223.
Provider's Profile
| Full Name | Mrs Rose Marie Theresa Rakocy |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1350 Joe Martin Cir, Shalimar, 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: 1184803223
- Provider Enumeration Date: 10/25/2007
- Last Update Date: 10/25/2007
Medical Identifiers
Medical identifiers for Mrs Rose Marie Theresa Rakocy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184803223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN1181861 (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 Rose Marie Theresa Rakocy 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 Rose Marie Theresa Rakocy, LPN
221 Hospital Dr Ne,
Fort Walton Beach, FL 32548-5066
Ph: (850) 833-9240 | Mrs Rose Marie Theresa Rakocy, LPN
1350 Joe Martin Cir,
Shalimar, FL 32579-1317
Ph: (850) 833-4339 |
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