Mr Brent A Wade Sr, is a
Social Worker based in Oklahoma City, Oklahoma. Mr Brent A Wade Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
921 Ne 13th St, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 242-2408.
NPI number for Mr Brent A Wade Sr is 1104354687 and his current mailing address is 921 Ne 13th St, Oklahoma City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104354687.
Healthcare Provider's Profile
| Full Name | Mr Brent A Wade Sr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 921 Ne 13th St, Oklahoma City, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104354687
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 03/02/2021
Medical Identifiers
Medical identifiers for Mr Brent A Wade Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104354687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (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. Mr Brent A Wade Sr 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 |
|---|
Mr Brent A Wade Sr,
921 Ne 13th St,
Oklahoma City, OK 73104-5007
Ph: (405) 243-2408 | Mr Brent A Wade Sr,
921 Ne 13th St,
Oklahoma City, OK 73104-5007
Ph: (405) 242-2408 |
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