Theresa Marie Bloss, LPN is a
Licensed Practical Nurse based in Rock Springs, Wisconsin. Theresa Marie Bloss is licensed to practice in Wisconsin (license number 310840-031) and her current practice location is
S4875 Cty Rd D, Rock Springs, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 524-8011.
NPI number for Theresa Marie Bloss is 1568749885 and her current mailing address is S4875 Cty Rd D, Rock Springs, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568749885.
Provider's Profile
Full Name | Theresa Marie Bloss |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | S4875 Cty Rd D, Rock Springs, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568749885
- Provider Enumeration Date: 11/15/2011
- Last Update Date: 11/15/2011
Medical Identifiers
Medical identifiers for Theresa Marie Bloss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568749885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 310840-031 (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. Theresa Marie Bloss 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 |
Theresa Marie Bloss, LPN S4875 Cty Rd D, Rock Springs, WI 53961-9714 Ph: (608) 524-8011 | Theresa Marie Bloss, LPN S4875 Cty Rd D, Rock Springs, WI 53961-9714 Ph: (608) 524-8011 |
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