Bernadette Dervish, RN is a
Registered Nurse - School based in Pulaski, Wisconsin. Bernadette Dervish is licensed to practice in Wisconsin (license number 11060230) and her current practice location is
143 W Green Bay St, Pulaski, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 822-6027.
NPI number for Bernadette Dervish is 1720995301 and her current mailing address is 143 W Green Bay St, Pulaski, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720995301.
Provider's Profile
| Full Name | Bernadette Dervish |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - School |
|---|
| Location | 143 W Green Bay St, Pulaski, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720995301
- Provider Enumeration Date: 08/27/2026
- Last Update Date: 08/27/2026
Medical Identifiers
Medical identifiers for Bernadette Dervish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720995301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WS0200X | Registered Nurse - School | 11060230 (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. Bernadette Dervish 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 |
Bernadette Dervish, RN 143 W Green Bay St, Pulaski, WI 54162-9350 Ph: (920) 822-6027 | Bernadette Dervish, RN 143 W Green Bay St, Pulaski, WI 54162-9350 Ph: (920) 822-6027 |
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