Delviccio Marcel Watts-frost, is a
Community Health Worker based in La Verne, California. Delviccio Marcel Watts-frost is licensed to practice in * (Not Available) (license number ) and his current practice location is
233 W Baseline Rd, La Verne, California. He can be reached at his office (for appointments etc.) via phone at
(909) 593-2581.
NPI number for Delviccio Marcel Watts-frost is 1255938130 and his current mailing address is 233 W Baseline Rd, La Verne, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255938130.
Healthcare Provider's Profile
| Full Name | Delviccio Marcel Watts-frost |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 233 W Baseline Rd, La Verne, California |
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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: 1255938130
- Provider Enumeration Date: 10/05/2020
- Last Update Date: 07/13/2023
Medical Identifiers
Medical identifiers for Delviccio Marcel Watts-frost such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255938130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Delviccio Marcel Watts-frost 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 |
|---|
Delviccio Marcel Watts-frost,
233 W Baseline Rd,
La Verne, CA 91750
Ph: (909) 593-2581 | Delviccio Marcel Watts-frost,
233 W Baseline Rd,
La Verne, CA 91750
Ph: (909) 593-2581 |
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