Nathan Phillip, is a
Community Health Worker based in Oakland, California. Nathan Phillip is licensed to practice in * (Not Available) (license number ) and his current practice location is
390 40th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 653-5040.
NPI number for Nathan Phillip is 1073927711 and his current mailing address is 390 40th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073927711.
Healthcare Provider's Profile
| Full Name | Nathan Phillip |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 390 40th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073927711
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 06/19/2014
Medical Identifiers
Medical identifiers for Nathan Phillip such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073927711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Nathan Phillip 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 |
|---|
Nathan Phillip,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 653-5040 | Nathan Phillip,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 653-5040 |
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