Elliot George Wingfield, is a
Behavior Technician based in Rancho Cordova, California. Elliot George Wingfield is licensed to practice in California (license number ) and his current practice location is
10390 Coloma Rd, Rancho Cordova, California. He can be reached at his office (for appointments etc.) via phone at
(187) 791-0653.
NPI number for Elliot George Wingfield is 1508581257 and his current mailing address is 1200 Concord Ave Ste 100, Concord, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508581257.
Healthcare Provider's Profile
| Full Name | Elliot George Wingfield |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 10390 Coloma Rd, Rancho Cordova, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508581257
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 10/06/2022
Medical Identifiers
Medical identifiers for Elliot George Wingfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508581257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 106S00000X | Behavior Technician | (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. Elliot George Wingfield 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 |
|---|
Elliot George Wingfield,
1200 Concord Ave Ste 100,
Concord, CA 94520-4969
Ph: (187) 791-0653 | Elliot George Wingfield,
10390 Coloma Rd,
Rancho Cordova, CA 95670-2152
Ph: (187) 791-0653 |
Reviews and Comments