Dewayne Anthony Phelan, is a
Community Health Worker based in Yuba City, California. Dewayne Anthony Phelan is licensed to practice in California (license number ) and his current practice location is
1965 Live Oak Blvd, Yuba City, California. He can be reached at his office (for appointments etc.) via phone at
(530) 822-7209.
NPI number for Dewayne Anthony Phelan is 1982349163 and his current mailing address is 1965 Live Oak Blvd, Yuba City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982349163.
Healthcare Provider's Profile
Full Name | Dewayne Anthony Phelan |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 1965 Live Oak Blvd, Yuba City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982349163
- Provider Enumeration Date: 05/02/2022
- Last Update Date: 12/22/2023
Medical Identifiers
Medical identifiers for Dewayne Anthony Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982349163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | 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. Dewayne Anthony Phelan 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 |
Dewayne Anthony Phelan, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 822-7209 | Dewayne Anthony Phelan, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 822-7209 |
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