Mr Michael Allen Ide, LSW is a
Social Worker based in Kingston, Pennsylvania. Mr Michael Allen Ide is licensed to practice in Pennsylvania (license number SW129791) and his current practice location is
562 Wyoming Avenue, Choices, Kingston, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 552-3700.
NPI number for Mr Michael Allen Ide is 1134387897 and his current mailing address is 2005 Sanderson Avenue, Scranton, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134387897.
Healthcare Provider's Profile
Full Name | Mr Michael Allen Ide |
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Gender | Male |
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Speciality | Social Worker |
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Location | 562 Wyoming Avenue, Kingston, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134387897
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 08/17/2017
Medical Identifiers
Medical identifiers for Mr Michael Allen Ide such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134387897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | SW129791 (Pennsylvania) | 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 Michael Allen Ide 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 Michael Allen Ide, LSW 2005 Sanderson Avenue, Scranton, PA 18509 Ph: (570) 266-1635 | Mr Michael Allen Ide, LSW 562 Wyoming Avenue, Choices, Kingston, PA 18704 Ph: (570) 552-3700 |
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