Fred Joe, is a
Counselor - Mental Health based in Nightmute, Alaska. Fred Joe is licensed to practice in * (Not Available) (license number ) and his current practice location is
Nightmute Clinic, Nightmute, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 647-6312.
NPI number for Fred Joe is 1891996807 and his current mailing address is Po Box 528, Bethel, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891996807.
Healthcare Provider's Profile
| Full Name | Fred Joe |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | Nightmute Clinic, Nightmute, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891996807
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Fred Joe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891996807 | NPI | - | NPPES |
| DA4442 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Fred Joe 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 |
|---|
Fred Joe,
Po Box 528,
Bethel, AK 99559-0528
Ph: (907) 543-6100 | Fred Joe,
Nightmute Clinic,
Nightmute, AK 99690
Ph: (907) 647-6312 |
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