Deana Mateo, is a
Peer Specialist based in Longview, Washington. Deana Mateo is licensed to practice in Washington (license number 60722706) and her current practice location is
720 14th Avenue, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 423-0203.
NPI number for Deana Mateo is 1699216440 and her current mailing address is 921 14th Avenue, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699216440.
Healthcare Provider's Profile
| Full Name | Deana Mateo |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 720 14th Avenue, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699216440
- Provider Enumeration Date: 03/13/2017
- Last Update Date: 05/01/2019
Medical Identifiers
Medical identifiers for Deana Mateo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699216440 | NPI | - | NPPES |
| 2097910 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | 60722706 (Washington) | 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. Deana Mateo 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 |
|---|
Deana Mateo,
921 14th Avenue,
Longview, WA 98632
Ph: (360) 423-0203 | Deana Mateo,
720 14th Avenue,
Longview, WA 98632
Ph: (360) 423-0203 |
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