Samantha M Bockus, LPN is a
Licensed Practical Nurse based in Grand Isle, Vermont. Samantha M Bockus is licensed to practice in Vermont (license number 025.0135891) and her current practice location is
93 Reynolds Rd, Grand Isle, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 393-2401.
NPI number for Samantha M Bockus is 1770249856 and her current mailing address is 93 Reynolds Rd, Grand Isle, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770249856.
Provider's Profile
Full Name | Samantha M Bockus |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 93 Reynolds Rd, Grand Isle, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770249856
- Provider Enumeration Date: 11/12/2021
- Last Update Date: 11/12/2021
Medical Identifiers
Medical identifiers for Samantha M Bockus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770249856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 025.0135891 (Vermont) | 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 M Bockus 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 M Bockus, LPN 93 Reynolds Rd, Grand Isle, VT 05458-2121 Ph: (802) 393-2401 | Samantha M Bockus, LPN 93 Reynolds Rd, Grand Isle, VT 05458-2121 Ph: (802) 393-2401 |
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