Mr Philip Lightbear, MA LADC CADC is a
Counselor - Addiction (substance Use Disorder) based in St Johnsburg, Vermont. Mr Philip Lightbear is licensed to practice in Vermont (license number 000420) and his current practice location is
108 Cherry Street Suite 1, St Johnsburg, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 748-8842.
NPI number for Mr Philip Lightbear is 1548435696 and his current mailing address is 108 Cherry Street Suite 1, St Johnsburg, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548435696.
Healthcare Provider's Profile
| Full Name | Mr Philip Lightbear |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 108 Cherry Street Suite 1, St Johnsburg, Vermont |
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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: 1548435696
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 04/29/2008
Medical Identifiers
Medical identifiers for Mr Philip Lightbear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548435696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000420 (Vermont) | 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 Philip Lightbear 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 Philip Lightbear, MA LADC CADC
108 Cherry Street Suite 1,
St Johnsburg, VT 05819
Ph: (802) 748-8842 | Mr Philip Lightbear, MA LADC CADC
108 Cherry Street Suite 1,
St Johnsburg, VT 05819
Ph: (802) 748-8842 |
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