Mr David Reid Davisworth Ii, QMHA is a
Case Manager/care Coordinator based in Newport, Oregon. Mr David Reid Davisworth Ii is licensed to practice in * (Not Available) (license number ) and his current practice location is
51 Sw Lee St, Newport, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 574-5960.
NPI number for Mr David Reid Davisworth Ii is 1124559307 and his current mailing address is 36 Sw Nye St, Newport, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124559307.
Healthcare Provider's Profile
| Full Name | Mr David Reid Davisworth Ii |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 51 Sw Lee St, Newport, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124559307
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 02/21/2019
Medical Identifiers
Medical identifiers for Mr David Reid Davisworth Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124559307 | NPI | - | NPPES |
| 601157-449 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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 David Reid Davisworth Ii 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 David Reid Davisworth Ii, QMHA
36 Sw Nye St,
Newport, OR 97365-3821
Ph: (541) 265-4947 | Mr David Reid Davisworth Ii, QMHA
51 Sw Lee St,
Newport, OR 97365-3823
Ph: (541) 574-5960 |
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