Paulette Bohannon, SA-C is a
Licensed Practical Nurse based in Rowlett, Texas. Paulette Bohannon is licensed to practice in Florida (license number 13333) and her current practice location is
1901 Miller Rd, Rowlett, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 227-2457.
NPI number for Paulette Bohannon is 1720411531 and her current mailing address is 1901 Miller Rd, Rowlett, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720411531.
Provider's Profile
| Full Name | Paulette Bohannon |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1901 Miller Rd, Rowlett, Texas |
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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: 1720411531
- Provider Enumeration Date: 08/15/2013
- Last Update Date: 08/15/2013
Medical Identifiers
Medical identifiers for Paulette Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720411531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 13333 (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. Paulette Bohannon 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 |
|---|
Paulette Bohannon, SA-C
1901 Miller Rd,
Rowlett, TX 75088-5604
Ph: (214) 227-2457 | Paulette Bohannon, SA-C
1901 Miller Rd,
Rowlett, TX 75088-5604
Ph: (214) 227-2457 |
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