Dr Bridget Kathleen Booth, PHD PMHCNS-BC - in Fayetteville, NC

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Dr Bridget Kathleen Booth, PHD PMHCNS-BC is a Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Fayetteville, North Carolina. Dr Bridget Kathleen Booth is licensed to practice in North Carolina (license number 193660) and her current practice location is 2300 Ramsey St, Va Medical Center, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 488-2120.

NPI number for Dr Bridget Kathleen Booth is 1043242852 and her current mailing address is 96 Rogers Rd, Lillington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043242852.

Contact Information

Dr Bridget Kathleen Booth, PHD PMHCNS-BC
2300 Ramsey St, Va Medical Center,
Fayetteville, NC 28301
(910) 488-2120
(910) 822-7017



Healthcare Provider's Profile

Full NameDr Bridget Kathleen Booth
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location2300 Ramsey St, Fayetteville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043242852
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 06/10/2008

Medical Identifiers

Medical identifiers for Dr Bridget Kathleen Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043242852NPI-NPPES
BO261381OtherPABLUE CROSS BLUE SHIELD
IP156708OtherPAMAGELLAN BEHAVIORAL HEALT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C004317 (North Carolina)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 193660 (North Carolina)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. Dr Bridget Kathleen Booth 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 AddressPractice Location Address
Dr Bridget Kathleen Booth, PHD PMHCNS-BC
96 Rogers Rd,
Lillington, NC 27546-7305

Ph: (910) 580-4856		Dr Bridget Kathleen Booth, PHD PMHCNS-BC
2300 Ramsey St, Va Medical Center,
Fayetteville, NC 28301

Ph: (910) 488-2120

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