Vickie Consuella71 Bush, in Valdosta, GA - In Home Supportive Care

Vickie Consuella71 Bush, is a In Home Supportive Care physician based in Valdosta, Georgia. Vickie Consuella71 Bush is licensed to practice in * (Not Available) (license number ) and her current practice location is 3701 Bermuda Run Dr, Valdosta, Georgia. She can be reached at her office (for appointments etc.) via phone at (229) 292-0021.

NPI number for Vickie Consuella71 Bush is 1912464702 and her current mailing address is 3701 Bermuda Run Dr, Valdosta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912464702.

Contact Information

	Vickie Consuella71 Bush,
	3701 Bermuda Run Dr, Valdosta, GA 31605-1059
	(229) 292-0021
	Not Available

Physician's Profile

Full Name	Vickie Consuella71 Bush
Gender	Female
Speciality	In Home Supportive Care
Location	3701 Bermuda Run Dr, Valdosta, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1912464702
Provider Enumeration Date: 02/27/2019
Last Update Date: 02/28/2019

Medical Identifiers

Medical identifiers for Vickie Consuella71 Bush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912464702	NPI	-	NPPES
456669	Other	GA	ARRT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	456669 (Georgia)	Secondary
253Z00000X	In Home Supportive Care	(* (Not Available))	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. Vickie Consuella71 Bush 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
Vickie Consuella71 Bush, 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 Ph: (229) 292-0021	Vickie Consuella71 Bush, 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 Ph: (229) 292-0021

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Vickie Consuella71 Bush, - In Home Supportive Care in Valdosta, GA