Raymond Kruse, is a
Licensed Practical Nurse based in Seminole, Florida. Raymond Kruse is licensed to practice in Florida (license number PN5153156) and his current practice location is
11091 91st Ave, Seminole, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 439-0980.
NPI number for Raymond Kruse is 1780077701 and his current mailing address is 11091 91st Ave, Seminole, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780077701.
Provider's Profile
| Full Name | Raymond Kruse |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 11091 91st Ave, Seminole, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780077701
- Provider Enumeration Date: 03/16/2015
- Last Update Date: 03/16/2015
Medical Identifiers
Medical identifiers for Raymond Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780077701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN5153156 (Florida) | Primary |
| 164W00000X | Licensed Practical Nurse | 4703077789 (Michigan) | Secondary |
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. Raymond Kruse 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 |
|---|
Raymond Kruse,
11091 91st Ave,
Seminole, FL 33772-3706
Ph: () - | Raymond Kruse,
11091 91st Ave,
Seminole, FL 33772-3706
Ph: (727) 439-0980 |
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