Mrs Mary Kathleen Bornick, LICENSE PRACTICAL NU - Licensed Practical Nurse in Fort Atkinson, WI

Mrs Mary Kathleen Bornick, LICENSE PRACTICAL NU is a Licensed Practical Nurse based in Fort Atkinson, Wisconsin. Mrs Mary Kathleen Bornick is licensed to practice in Wisconsin (license number 13474-031) and her current practice location is W. 6143 N. Thornapple Court, Fort Atkinson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 563-2359.

NPI number for Mrs Mary Kathleen Bornick is 1306080551 and her current mailing address is W. 6143 N. Thornapple Court, Fort Atkinson, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306080551.

Contact Information

Mrs Mary Kathleen Bornick, LICENSE PRACTICAL NU
W. 6143 N. Thornapple Court,
Fort Atkinson, WI 53538
(920) 563-2359
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary Kathleen Bornick
GenderFemale
SpecialityLicensed Practical Nurse
LocationW. 6143 N. Thornapple Court, Fort Atkinson, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306080551
  • Provider Enumeration Date: 04/30/2009
  • Last Update Date: 04/30/2009

Medical Identifiers

Medical identifiers for Mrs Mary Kathleen Bornick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306080551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 13474-031 (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. Mrs Mary Kathleen Bornick 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
Mrs Mary Kathleen Bornick, LICENSE PRACTICAL NU
W. 6143 N. Thornapple Court,
Fort Atkinson, WI 53538

Ph: (920) 563-2359
Mrs Mary Kathleen Bornick, LICENSE PRACTICAL NU
W. 6143 N. Thornapple Court,
Fort Atkinson, WI 53538

Ph: (920) 563-2359

Reviews and Comments


Licensed Practical Nurse Nurses in Fort Atkinson, WI

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Mrs. Shari Lee Burnett, LPN
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Ashlee K Regenauer, LPN
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Carrie Schepp, LPN
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Phone: 608-212-4604    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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