Samantha Bouffard, is a
Licensed Practical Nurse based in Lumberton, New Jersey. Samantha Bouffard is licensed to practice in New Jersey (license number 26NP06945600) and her current practice location is
4 Retford Ct, Lumberton, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 864-2844.
NPI number for Samantha Bouffard is 1205323755 and her current mailing address is 4 Retford Ct, Lumberton, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205323755.
Provider's Profile
| Full Name | Samantha Bouffard |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 4 Retford Ct, Lumberton, New Jersey |
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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: 1205323755
- Provider Enumeration Date: 04/20/2018
- Last Update Date: 04/20/2018
Medical Identifiers
Medical identifiers for Samantha Bouffard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205323755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 26NP06945600 (New Jersey) | 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. Samantha Bouffard 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 |
|---|
Samantha Bouffard,
4 Retford Ct,
Lumberton, NJ 08048-5026
Ph: () - | Samantha Bouffard,
4 Retford Ct,
Lumberton, NJ 08048-5026
Ph: (609) 864-2844 |
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