Mr John Lee Fant, CADC I is a
Case Manager/care Coordinator based in Salem, Oregon. Mr John Lee Fant is licensed to practice in Oregon (license number 06-07055U) and his current practice location is
1095 25th St Se, Salem, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 399-7400.
NPI number for Mr John Lee Fant is 1962548230 and his current mailing address is 1240 Chemeketa St Ne, Salem, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962548230.
Healthcare Provider's Profile
Full Name | Mr John Lee Fant |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 1095 25th St Se, Salem, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962548230
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr John Lee Fant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962548230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 06-07-55U (Oregon) | Primary |
171M00000X | Case Manager/care Coordinator | 06-07055U (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. Mr John Lee Fant 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 John Lee Fant, CADC I 1240 Chemeketa St Ne, Salem, OR 97301-4145 Ph: (503) 399-7400 | Mr John Lee Fant, CADC I 1095 25th St Se, Salem, OR 97301-5049 Ph: (503) 399-7400 |
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