Bejuon Antonio Emanuel, LPN is a
Licensed Practical Nurse based in Dennis Port, Massachusetts. Bejuon Antonio Emanuel is licensed to practice in Massachusetts (license number LN1004672) and his current practice location is
64 Ocean Dr, Dennis Port, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(774) 810-8120.
NPI number for Bejuon Antonio Emanuel is 1356274500 and his current mailing address is 64 Ocean Dr, Dennis Port, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356274500.
Provider's Profile
| Full Name | Bejuon Antonio Emanuel |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 64 Ocean Dr, Dennis Port, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356274500
- Provider Enumeration Date: 06/06/2026
- Last Update Date: 06/06/2026
Medical Identifiers
Medical identifiers for Bejuon Antonio Emanuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356274500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | LN1004672 (Massachusetts) | 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. Bejuon Antonio Emanuel 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 |
Bejuon Antonio Emanuel, LPN 64 Ocean Dr, Dennis Port, MA 02639-2213 Ph: (774) 810-8120 | Bejuon Antonio Emanuel, LPN 64 Ocean Dr, Dennis Port, MA 02639-2213 Ph: (774) 810-8120 |
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