Nicholas Azevedo, is a
Student In An Organized Health Care Education/training Program based in San Francisco, California. Nicholas Azevedo is licensed to practice in * (Not Available) (license number ) and his current practice location is
995 Potrero Ave, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 934-7789.
NPI number for Nicholas Azevedo is 1174165369 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174165369.
Healthcare Provider's Profile
| Full Name | Nicholas Azevedo |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 995 Potrero Ave, San Francisco, 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: 1174165369
- Provider Enumeration Date: 10/09/2019
- Last Update Date: 08/16/2022
Medical Identifiers
Medical identifiers for Nicholas Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174165369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Nicholas Azevedo 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 |
|---|
Nicholas Azevedo,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Nicholas Azevedo,
995 Potrero Ave,
San Francisco, CA 94110-2859
Ph: (415) 934-7789 |
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