Clara R Sam, CT is a
Counselor - Addiction (substance Use Disorder) based in Tetlin, Alaska. Clara R Sam is licensed to practice in * (Not Available) (license number ) and her current practice location is
Tetlin Village Road, Tetlin, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 324-2136.
NPI number for Clara R Sam is 1861780652 and her current mailing address is Po Box 597, Tok, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861780652.
Healthcare Provider's Profile
| Full Name | Clara R Sam |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | Tetlin Village Road, Tetlin, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861780652
- Provider Enumeration Date: 07/14/2011
- Last Update Date: 07/14/2011
Medical Identifiers
Medical identifiers for Clara R Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861780652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Clara R Sam 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 |
|---|
Clara R Sam, CT
Po Box 597,
Tok, AK 99780-0597
Ph: (907) 324-2136 | Clara R Sam, CT
Tetlin Village Road,
Tetlin, AK 99780
Ph: (907) 324-2136 |
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