Ms Michelle D Pistole, PISW is a
Community/behavioral Health based in Bloomfield, New Mexico. Ms Michelle D Pistole is licensed to practice in New Mexico (license number X-08775) and her current practice location is
371 County Road 5500, Bloomfield, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 486-6697.
NPI number for Ms Michelle D Pistole is 1790066165 and her current mailing address is 371 County Road 5500, Bloomfield, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790066165.
Healthcare Provider's Profile
Full Name | Ms Michelle D Pistole |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 371 County Road 5500, Bloomfield, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790066165
- Provider Enumeration Date: 08/30/2011
- Last Update Date: 11/21/2014
Medical Identifiers
Medical identifiers for Ms Michelle D Pistole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790066165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | X-07511 (New Mexico) | Secondary |
251S00000X | Community/behavioral Health | X-08775 (New Mexico) | 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. Ms Michelle D Pistole 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 |
Ms Michelle D Pistole, PISW 371 County Road 5500, Bloomfield, NM 87413-9302 Ph: (505) 486-6697 | Ms Michelle D Pistole, PISW 371 County Road 5500, Bloomfield, NM 87413-9302 Ph: (505) 486-6697 |
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