Duken Marvelly, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Houston, Texas. His current practice location is
3724 Fm 1960 Rd W, 300m, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(832) 774-1444.
Duken Marvelly is licensed to practice in Texas (license number 56903) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245633908.
Healthcare Provider's Profile
| Full Name | Duken Marvelly |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3724 Fm 1960 Rd W, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245633908
- Provider Enumeration Date: 10/08/2014
- Last Update Date: 10/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 6608164678
- Enrollment ID: I20161006000346
Medical Identifiers
Medical identifiers for Duken Marvelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245633908 | NPI | - | NPPES |
| 141987279 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12891 (Texas) | Secondary |
| 104100000X | Social Worker | 56903 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 56903 (Texas) | 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. Duken Marvelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Duken Marvelly, LCSW, LCDC
10505 Town And Country Way, P.o Box 19821,
Houston, TX 77224
Ph: (832) 774-1444 | Duken Marvelly, LCSW, LCDC
3724 Fm 1960 Rd W, 300m,
Houston, TX 77068-3528
Ph: (832) 774-1444 |
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