David Emmenecker, is a
Social Worker based in Grand Rapids, Michigan. David Emmenecker is licensed to practice in Michigan (license number 6851114045) and his current practice location is
300 68th St Se, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 455-5000.
NPI number for David Emmenecker is 1326648221 and his current mailing address is 300 68th St Se, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326648221.
Healthcare Provider's Profile
| Full Name | David Emmenecker |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 300 68th St Se, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326648221
- Provider Enumeration Date: 10/29/2020
- Last Update Date: 12/13/2022
Medical Identifiers
Medical identifiers for David Emmenecker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326648221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6851114045 (Michigan) | 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. David Emmenecker 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 |
|---|
David Emmenecker,
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 258-7467 | David Emmenecker,
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 455-5000 |
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