Michael Sketch, CGAC II, CGRM is a
Peer Specialist based in Salem, Oregon. Michael Sketch is licensed to practice in Oregon (license number 15CGRM001) and his current practice location is
3325 Harold Dr Ne, Salem, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 363-2021.
NPI number for Michael Sketch is 1699338681 and his current mailing address is Po Box 17818, Salem, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699338681.
Healthcare Provider's Profile
| Full Name | Michael Sketch |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3325 Harold Dr Ne, Salem, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699338681
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 04/16/2019
Medical Identifiers
Medical identifiers for Michael Sketch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699338681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | G171102 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 15CGRM001 (Oregon) | 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. Michael Sketch 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 |
|---|
Michael Sketch, CGAC II, CGRM
Po Box 17818,
Salem, OR 97305-7818
Ph: () - | Michael Sketch, CGAC II, CGRM
3325 Harold Dr Ne,
Salem, OR 97305-1339
Ph: (503) 363-2021 |
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