Colette A Probasco, is a
Pharmacist based in Hortonville, Wisconsin. Colette A Probasco is licensed to practice in Wisconsin (license number 10431) and her current practice location is
N1021 Blues Ln, Hortonville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 584-6827.
NPI number for Colette A Probasco is 1356940845 and her current mailing address is N1021 Blues Ln, Hortonville, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356940845.
Healthcare Provider's Profile
Full Name | Colette A Probasco |
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Gender | Female |
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Speciality | Pharmacist |
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Location | N1021 Blues Ln, Hortonville, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356940845
- Provider Enumeration Date: 10/26/2020
- Last Update Date: 10/26/2020
Medical Identifiers
Medical identifiers for Colette A Probasco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356940845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 10431 (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. Colette A Probasco 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 |
Colette A Probasco, N1021 Blues Ln, Hortonville, WI 54944-9265 Ph: (715) 584-6827 | Colette A Probasco, N1021 Blues Ln, Hortonville, WI 54944-9265 Ph: (715) 584-6827 |
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