Martin Van Dyke Pool, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cartersville, Virginia. His current practice location is
83 Boston Hill Rd, Cartersville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 409-2596.
Martin Van Dyke Pool is licensed to practice in Virginia (license number 0904008797) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710990338.
Healthcare Provider's Profile
Full Name | Martin Van Dyke Pool |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 83 Boston Hill Rd, Cartersville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710990338
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 04/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 4688955123
- Enrollment ID: I20161221001477
Medical Identifiers
Medical identifiers for Martin Van Dyke Pool such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710990338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904008797 (Virginia) | 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. Martin Van Dyke Pool is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martin Van Dyke Pool, LCSW 83 Boston Hill Rd, Cartersville, VA 23027-9716 Ph: (434) 409-2596 | Martin Van Dyke Pool, LCSW 83 Boston Hill Rd, Cartersville, VA 23027-9716 Ph: (434) 409-2596 |
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