Mirtha Ebanks, is a
Student In An Organized Health Care Education/training Program based in Seattle, Washington. Mirtha Ebanks is licensed to practice in * (Not Available) (license number ) and her current practice location is
122 16th Ave E, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 302-2700.
NPI number for Mirtha Ebanks is 1568935674 and her current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568935674.
Healthcare Provider's Profile
| Full Name | Mirtha Ebanks |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 122 16th Ave E, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568935674
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 04/13/2022
Medical Identifiers
Medical identifiers for Mirtha Ebanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568935674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Mirtha Ebanks 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 |
|---|
Mirtha Ebanks,
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: (206) 901-2000 | Mirtha Ebanks,
122 16th Ave E,
Seattle, WA 98112-5212
Ph: (206) 302-2700 |
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