Mr Ricky Lavorn Coston Jr, is a
Counselor - School based in Bealeton, Virginia. Mr Ricky Lavorn Coston Jr is licensed to practice in Virginia (license number PPS-0605419) and his current practice location is
11164 Willow Dr Apt T, Bealeton, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 746-0113.
NPI number for Mr Ricky Lavorn Coston Jr is 1649048117 and his current mailing address is 11164 Willow Dr Apt T, Bealeton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649048117.
Healthcare Provider's Profile
| Full Name | Mr Ricky Lavorn Coston Jr |
|---|
| Gender | Male |
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| Speciality | Counselor - School |
|---|
| Location | 11164 Willow Dr Apt T, Bealeton, Virginia |
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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: 1649048117
- Provider Enumeration Date: 12/14/2023
- Last Update Date: 12/14/2023
Medical Identifiers
Medical identifiers for Mr Ricky Lavorn Coston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649048117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 0704016397 (Virginia) | Secondary |
| 101YS0200X | Counselor - School | PPS-0605419 (Virginia) | 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 Ricky Lavorn Coston Jr 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 Ricky Lavorn Coston Jr,
11164 Willow Dr Apt T,
Bealeton, VA 22712-9210
Ph: () - | Mr Ricky Lavorn Coston Jr,
11164 Willow Dr Apt T,
Bealeton, VA 22712-9210
Ph: (757) 746-0113 |
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