Ms Rosemary Kay Bloom, RN is a
Registered Nurse based in Butte Des Morts, Wisconsin. Ms Rosemary Kay Bloom is licensed to practice in Wisconsin (license number 73617-030) and her current practice location is
5118 Lakewind Drive, Butte Des Morts, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 859-0042.
NPI number for Ms Rosemary Kay Bloom is 1033381306 and her current mailing address is Po Box 377, Butte Des Morts, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033381306.
Provider's Profile
| Full Name | Ms Rosemary Kay Bloom |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 5118 Lakewind Drive, Butte Des Morts, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033381306
- Provider Enumeration Date: 03/27/2008
- Last Update Date: 03/27/2008
Medical Identifiers
Medical identifiers for Ms Rosemary Kay Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033381306 | NPI | - | NPPES |
| 38229100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 73617-030 (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. Ms Rosemary Kay Bloom 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 |
|---|
Ms Rosemary Kay Bloom, RN
Po Box 377,
Butte Des Morts, WI 54927-0377
Ph: (920) 859-0042 | Ms Rosemary Kay Bloom, RN
5118 Lakewind Drive,
Butte Des Morts, WI 54927
Ph: (920) 859-0042 |
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