Mr Wade M Falconburg, LCSW, MAC, PACT is a
Social Worker - Clinical based in Fairbanks, Alaska. Mr Wade M Falconburg is licensed to practice in Alaska (license number 223202) and his current practice location is
Po Box 61416, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at
(208) 577-1015.
NPI number for Mr Wade M Falconburg is 1891994307 and his current mailing address is Po Box 61416, Fairbanks, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891994307.
Healthcare Provider's Profile
| Full Name | Mr Wade M Falconburg |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | Po Box 61416, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891994307
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 01/01/2025
Medical Identifiers
Medical identifiers for Mr Wade M Falconburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891994307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACADC-90 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 28335 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 223202 (Alaska) | 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 Wade M Falconburg 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 Wade M Falconburg, LCSW, MAC, PACT
Po Box 61416,
Fairbanks, AK 99706-1416
Ph: (208) 577-1015 | Mr Wade M Falconburg, LCSW, MAC, PACT
Po Box 61416,
Fairbanks, AK 99706-1416
Ph: (208) 577-1015 |
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