Mr Bryant Odell Massenburg, LCSW is a
Social Worker based in Ft Riley, Kansas. Mr Bryant Odell Massenburg is licensed to practice in Virginia (license number 0904006561) and his current practice location is
650 Huebner Rd, Ft Riley, Kansas. He can be reached at his office (for appointments etc.) via phone at
(757) 535-6301.
NPI number for Mr Bryant Odell Massenburg is 1194938571 and his current mailing address is 650 Huebner Rd, Ft Riley, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194938571.
Healthcare Provider's Profile
| Full Name | Mr Bryant Odell Massenburg |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 650 Huebner Rd, Ft Riley, Kansas |
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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: 1194938571
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 09/29/2023
Medical Identifiers
Medical identifiers for Mr Bryant Odell Massenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194938571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 0904006561 (Virginia) | Secondary |
| 104100000X | Social Worker | 0904006561 (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. Mr Bryant Odell Massenburg 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 |
|---|
Mr Bryant Odell Massenburg, LCSW
650 Huebner Rd,
Ft Riley, KS 66442-4030
Ph: (757) 535-6301 | Mr Bryant Odell Massenburg, LCSW
650 Huebner Rd,
Ft Riley, KS 66442-4030
Ph: (757) 535-6301 |
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