Tina Brown, is a
Licensed Practical Nurse based in Fox Lake, Wisconsin. Tina Brown is licensed to practice in Wisconsin (license number 316033-31) and her current practice location is
211 Spring St, Fox Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 763-4022.
NPI number for Tina Brown is 1578810685 and her current mailing address is Po Box 380, Fox Lake, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578810685.
Provider's Profile
| Full Name | Tina Brown |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 211 Spring St, Fox Lake, Wisconsin |
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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: 1578810685
- Provider Enumeration Date: 08/08/2012
- Last Update Date: 08/08/2012
Medical Identifiers
Medical identifiers for Tina Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578810685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 316033-31 (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. Tina Brown 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 |
|---|
Tina Brown,
Po Box 380,
Fox Lake, WI 53933-0380
Ph: (920) 763-4022 | Tina Brown,
211 Spring St,
Fox Lake, WI 53933-8034
Ph: (920) 763-4022 |
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