Pat Medford, MA/LPC is a
Counselor - Professional based in Wittmann, Arizona. Pat Medford is licensed to practice in Arizona (license number LPC-10557) and his current practice location is
21139 W Caravaggio Ln, Wittmann, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 210-2561.
NPI number for Pat Medford is 1780013797 and his current mailing address is 15270 W Brookside Ln, Surprise, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780013797.
Healthcare Provider's Profile
| Full Name | Pat Medford |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 21139 W Caravaggio Ln, Wittmann, Arizona |
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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: 1780013797
- Provider Enumeration Date: 11/11/2013
- Last Update Date: 11/11/2013
Medical Identifiers
Medical identifiers for Pat Medford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780013797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC-10557 (Arizona) | 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. Pat Medford 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 |
|---|
Pat Medford, MA/LPC
15270 W Brookside Ln,
Surprise, AZ 85374-2450
Ph: (623) 210-2561 | Pat Medford, MA/LPC
21139 W Caravaggio Ln,
Wittmann, AZ 85361-8685
Ph: (623) 210-2561 |
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