Patti Jo Bauerbach, is a
Counselor - Addiction (substance Use Disorder) based in Davisville, West Virginia. Patti Jo Bauerbach is licensed to practice in Ohio (license number CDCA.182586) and her current practice location is
37 Ruby Dr, Davisville, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(740) 509-6094.
NPI number for Patti Jo Bauerbach is 1154018612 and her current mailing address is 37 Ruby Dr, Davisville, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154018612.
Healthcare Provider's Profile
| Full Name | Patti Jo Bauerbach |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 37 Ruby Dr, Davisville, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154018612
- Provider Enumeration Date: 04/24/2023
- Last Update Date: 04/24/2023
Medical Identifiers
Medical identifiers for Patti Jo Bauerbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154018612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.182586 (Ohio) | 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. Patti Jo Bauerbach 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 |
|---|
Patti Jo Bauerbach,
37 Ruby Dr,
Davisville, WV 26142-9718
Ph: (740) 509-6094 | Patti Jo Bauerbach,
37 Ruby Dr,
Davisville, WV 26142-9718
Ph: (740) 509-6094 |
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