Bruce Willis Mattmiller Jr, MHP is a
Counselor - Mental Health based in Ashley, Illinois. Bruce Willis Mattmiller Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
347 N Third St, Ashley, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 310-8932.
NPI number for Bruce Willis Mattmiller Jr is 1487204202 and his current mailing address is 347 N Third St, Ashley, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487204202.
Healthcare Provider's Profile
Full Name | Bruce Willis Mattmiller Jr |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 347 N Third St, Ashley, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487204202
- Provider Enumeration Date: 09/13/2019
- Last Update Date: 09/13/2019
Medical Identifiers
Medical identifiers for Bruce Willis Mattmiller Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487204202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Bruce Willis Mattmiller Jr 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 |
Bruce Willis Mattmiller Jr, MHP 347 N Third St, Ashley, IL 62808-1830 Ph: (618) 310-8932 | Bruce Willis Mattmiller Jr, MHP 347 N Third St, Ashley, IL 62808-1830 Ph: (618) 310-8932 |
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