Dylan Thomas Eilken, is a
Peer Specialist based in Pasadena, California. Dylan Thomas Eilken is licensed to practice in California (license number MPSS-GKTBSF) and his current practice location is
1230 N Marengo Ave, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 797-1124.
NPI number for Dylan Thomas Eilken is 1265218762 and his current mailing address is 1230 N Marengo Ave, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265218762.
Healthcare Provider's Profile
Full Name | Dylan Thomas Eilken |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 1230 N Marengo Ave, Pasadena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265218762
- Provider Enumeration Date: 08/31/2023
- Last Update Date: 10/16/2024
Medical Identifiers
Medical identifiers for Dylan Thomas Eilken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265218762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1523050823 (California) | Secondary |
175T00000X | Peer Specialist | MPSS-GKTBSF (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 Thomas Eilken 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 Thomas Eilken, 1230 N Marengo Ave, Pasadena, CA 91103-2217 Ph: (626) 797-1124 | Dylan Thomas Eilken, 1230 N Marengo Ave, Pasadena, CA 91103-2217 Ph: (626) 797-1124 |
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