Polly Jean Pahlow, LPN is a
Licensed Practical Nurse based in Pembine, Wisconsin. Polly Jean Pahlow is licensed to practice in Wisconsin (license number ) and her current practice location is
W10752 Blueberry Point Rd, Pembine, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(561) 244-5846.
NPI number for Polly Jean Pahlow is 1730377367 and her current mailing address is W10752 Blueberry Point Rd, Pembine, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730377367.
Provider's Profile
Full Name | Polly Jean Pahlow |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | W10752 Blueberry Point Rd, Pembine, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730377367
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 10/09/2007
Medical Identifiers
Medical identifiers for Polly Jean Pahlow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730377367 | NPI | - | NPPES |
35017700 | Other | WI | MEDICAID PROVIDER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | (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. Polly Jean Pahlow 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 |
Polly Jean Pahlow, LPN W10752 Blueberry Point Rd, Pembine, WI 54119-9251 Ph: (561) 244-5846 | Polly Jean Pahlow, LPN W10752 Blueberry Point Rd, Pembine, WI 54119-9251 Ph: (561) 244-5846 |
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