Dylan Scott Burditt, is a
Social Worker - Clinical based in Mammoth Lakes, California. Dylan Scott Burditt is licensed to practice in California (license number 102964) and his current practice location is
1290 Tavern Rd, Mammoth Lakes, California. He can be reached at his office (for appointments etc.) via phone at
(760) 924-1740.
NPI number for Dylan Scott Burditt is 1235802141 and his current mailing address is Po Box 9038, Mammoth Lakes, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235802141.
Healthcare Provider's Profile
| Full Name | Dylan Scott Burditt |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1290 Tavern Rd, Mammoth Lakes, 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: 1235802141
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 08/11/2021
Medical Identifiers
Medical identifiers for Dylan Scott Burditt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235802141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102964 (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. Dylan Scott Burditt 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 |
|---|
Dylan Scott Burditt,
Po Box 9038,
Mammoth Lakes, CA 93546-9038
Ph: (760) 914-2143 | Dylan Scott Burditt,
1290 Tavern Rd,
Mammoth Lakes, CA 93546-6601
Ph: (760) 924-1740 |
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