Mrs Carmen Maria Wyatt, CADAC is a
Counselor - Addiction (substance Use Disorder) based in Lackland Afb, Texas. Mrs Carmen Maria Wyatt is licensed to practice in District Of Columbia (license number 2042) and her current practice location is
2200 Berquist Drive, Suite 1, Lackland Afb, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 292-4452.
NPI number for Mrs Carmen Maria Wyatt is 1053645796 and her current mailing address is 2200 Berquist Drive, Suite 1, Lackland Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053645796.
Healthcare Provider's Profile
| Full Name | Mrs Carmen Maria Wyatt |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2200 Berquist Drive, Lackland Afb, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053645796
- Provider Enumeration Date: 09/29/2009
- Last Update Date: 09/29/2009
Medical Identifiers
Medical identifiers for Mrs Carmen Maria Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053645796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2042 (District Of Columbia) | 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. Mrs Carmen Maria Wyatt 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 |
|---|
Mrs Carmen Maria Wyatt, CADAC
2200 Berquist Drive, Suite 1,
Lackland Afb, TX 78236
Ph: (210) 292-4452 | Mrs Carmen Maria Wyatt, CADAC
2200 Berquist Drive, Suite 1,
Lackland Afb, TX 78236
Ph: (210) 292-4452 |
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