Natasha Maire Bubolz, LPN is a
Licensed Practical Nurse based in Gillett, Wisconsin. Natasha Maire Bubolz is licensed to practice in Wisconsin (license number 325780) and her current practice location is
14386 Warrington Lake Dr, Gillett, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 598-0712.
NPI number for Natasha Maire Bubolz is 1689380461 and her current mailing address is 14386 Warrington Lake Dr, Gillett, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689380461.
Provider's Profile
Full Name | Natasha Maire Bubolz |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 14386 Warrington Lake Dr, Gillett, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689380461
- Provider Enumeration Date: 01/25/2023
- Last Update Date: 01/25/2023
Medical Identifiers
Medical identifiers for Natasha Maire Bubolz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689380461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 325780 (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. Natasha Maire Bubolz 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 |
Natasha Maire Bubolz, LPN 14386 Warrington Lake Dr, Gillett, WI 54124-9793 Ph: (920) 598-0712 | Natasha Maire Bubolz, LPN 14386 Warrington Lake Dr, Gillett, WI 54124-9793 Ph: (920) 598-0712 |
Reviews and Comments