Rebecca Heatherly, LPN is a
Licensed Practical Nurse based in Woodbine, Georgia. Rebecca Heatherly is licensed to practice in Georgia (license number 80366) and her current practice location is
1501 Georgia Ave, Woodbine, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 576-3040.
NPI number for Rebecca Heatherly is 1821344763 and her current mailing address is 150 Scranton Connector, Brunswick, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821344763.
Provider's Profile
| Full Name | Rebecca Heatherly |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1501 Georgia Ave, Woodbine, Georgia |
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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: 1821344763
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 07/30/2012
Medical Identifiers
Medical identifiers for Rebecca Heatherly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821344763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 80366 (Georgia) | 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. Rebecca Heatherly 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 |
|---|
Rebecca Heatherly, LPN
150 Scranton Connector,
Brunswick, GA 31525-0540
Ph: (912) 280-1462 | Rebecca Heatherly, LPN
1501 Georgia Ave,
Woodbine, GA 31569-5504
Ph: (912) 576-3040 |
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