Brendon Isaac Ian Polson, is a
Registered Nurse - Critical Care Medicine based in Mifflintown, Pennsylvania. Brendon Isaac Ian Polson is licensed to practice in Washington (license number 61387102) and his current practice location is
56 Cloverfield Ct, Mifflintown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 695-1564.
NPI number for Brendon Isaac Ian Polson is 1760197743 and his current mailing address is 56 Cloverfield Ct, Mifflintown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760197743.
Provider's Profile
| Full Name | Brendon Isaac Ian Polson |
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| Gender | Male |
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| Speciality | Registered Nurse - Critical Care Medicine |
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| Location | 56 Cloverfield Ct, Mifflintown, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760197743
- Provider Enumeration Date: 01/13/2023
- Last Update Date: 01/13/2023
Medical Identifiers
Medical identifiers for Brendon Isaac Ian Polson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760197743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 61387102 (Washington) | 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. Brendon Isaac Ian Polson 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 |
|---|
Brendon Isaac Ian Polson,
56 Cloverfield Ct,
Mifflintown, PA 17059-9033
Ph: (717) 695-1564 | Brendon Isaac Ian Polson,
56 Cloverfield Ct,
Mifflintown, PA 17059-9033
Ph: (717) 695-1564 |
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