Gregory Michael Tancibok, LPC is a
Counselor - Professional based in Holiday Island, Arkansas. Gregory Michael Tancibok is licensed to practice in Arkansas (license number P2206022) and his current practice location is
23 Parkcliff Dr, Holiday Island, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 363-6422.
NPI number for Gregory Michael Tancibok is 1831302439 and his current mailing address is 23 Parkcliff Dr, Holiday Island, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831302439.
Healthcare Provider's Profile
| Full Name | Gregory Michael Tancibok |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 23 Parkcliff Dr, Holiday Island, Arkansas |
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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: 1831302439
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 02/15/2023
Medical Identifiers
Medical identifiers for Gregory Michael Tancibok such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831302439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | P2206022 (Arkansas) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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. Gregory Michael Tancibok 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 |
|---|
Gregory Michael Tancibok, LPC
23 Parkcliff Dr,
Holiday Island, AR 72631-8045
Ph: (793) 636-4224 | Gregory Michael Tancibok, LPC
23 Parkcliff Dr,
Holiday Island, AR 72631-8045
Ph: (479) 363-6422 |
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