Nathan Shaw Wentland, is a
Peer Specialist based in San Diego, California. Nathan Shaw Wentland is licensed to practice in * (Not Available) (license number ) and his current practice location is
1733 Euclid Ave, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 263-0433.
NPI number for Nathan Shaw Wentland is 1679224349 and his current mailing address is 872 Delgado Pl, Escondido, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679224349.
Healthcare Provider's Profile
| Full Name | Nathan Shaw Wentland |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1733 Euclid Ave, San Diego, California |
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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: 1679224349
- Provider Enumeration Date: 01/14/2022
- Last Update Date: 06/13/2022
Medical Identifiers
Medical identifiers for Nathan Shaw Wentland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679224349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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 Shaw Wentland 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 Shaw Wentland,
872 Delgado Pl,
Escondido, CA 92025-5666
Ph: (161) 975-6153 | Nathan Shaw Wentland,
1733 Euclid Ave,
San Diego, CA 92105-5414
Ph: (619) 263-0433 |
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