Mr Kevin James Moyer-wilkes, MED, NCC is a
Residential Treatment Facility, Emotionally Disturbed Children based in Boylston, Massachusetts. Mr Kevin James Moyer-wilkes is licensed to practice in Massachusetts (license number ) and his current practice location is
1 Elmwood Pl, Boylston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 869-0197.
NPI number for Mr Kevin James Moyer-wilkes is 1851639488 and his current mailing address is 16 Saxon Rd, Worcester, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851639488.
Healthcare Provider's Profile
| Full Name | Mr Kevin James Moyer-wilkes |
|---|
| Gender | Male |
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| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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| Location | 1 Elmwood Pl, Boylston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851639488
- Provider Enumeration Date: 01/16/2013
- Last Update Date: 01/16/2013
Medical Identifiers
Medical identifiers for Mr Kevin James Moyer-wilkes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851639488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 463166 (Massachusetts) | Secondary |
| 101YS0200X | Counselor - School | C062011002701 (Connecticut) | Secondary |
| 101YS0200X | Counselor - School | 10606058 (Pennsylvania) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Massachusetts) | 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 Kevin James Moyer-wilkes 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 Kevin James Moyer-wilkes, MED, NCC
16 Saxon Rd,
Worcester, MA 01602-1522
Ph: (508) 869-0197 | Mr Kevin James Moyer-wilkes, MED, NCC
1 Elmwood Pl,
Boylston, MA 01505-2040
Ph: (508) 869-0197 |
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