Derrick Quinn Dos Santos, is a
Student In An Organized Health Care Education/training Program based in Seattle, Washington. Derrick Quinn Dos Santos is licensed to practice in * (Not Available) (license number ) and his current practice location is
600 Broadway, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 302-2600.
NPI number for Derrick Quinn Dos Santos is 1639696479 and his current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639696479.
Healthcare Provider's Profile
| Full Name | Derrick Quinn Dos Santos |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 600 Broadway, Seattle, Washington |
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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: 1639696479
- Provider Enumeration Date: 08/23/2017
- Last Update Date: 09/03/2021
Medical Identifiers
Medical identifiers for Derrick Quinn Dos Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639696479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60790952 (Washington) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Derrick Quinn Dos Santos 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 |
|---|
Derrick Quinn Dos Santos,
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: (206) 901-2000 | Derrick Quinn Dos Santos,
600 Broadway,
Seattle, WA 98122-5229
Ph: (206) 302-2600 |
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