Mark D Stevens, is a
Peer Specialist based in Puyallup, Washington. Mark D Stevens is licensed to practice in Washington (license number CG60273952) and his current practice location is
800 S Meridian Ste A&b, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 235-5216.
NPI number for Mark D Stevens is 1477022440 and his current mailing address is 2701 N 16th St Ste 316, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477022440.
Healthcare Provider's Profile
| Full Name | Mark D Stevens |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 800 S Meridian Ste A&b, Puyallup, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477022440
- Provider Enumeration Date: 11/19/2018
- Last Update Date: 04/09/2021
Medical Identifiers
Medical identifiers for Mark D Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477022440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60273952 (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG60273952 (Washington) | 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. Mark D Stevens 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 |
|---|
Mark D Stevens,
2701 N 16th St Ste 316,
Phoenix, AZ 85006-1266
Ph: () - | Mark D Stevens,
800 S Meridian Ste A&b,
Puyallup, WA 98371-6995
Ph: (253) 235-5216 |
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