Ralph Michael Captain, is a
Peer Specialist based in Dayton, Ohio. Ralph Michael Captain is licensed to practice in Ohio (license number APS.003572) and his current practice location is
1 Elizabeth Pl, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 520-4800.
NPI number for Ralph Michael Captain is 1689447930 and his current mailing address is Po Box 212, Xenia, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689447930.
Healthcare Provider's Profile
| Full Name | Ralph Michael Captain |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1 Elizabeth Pl, Dayton, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689447930
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Ralph Michael Captain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689447930 | NPI | - | NPPES |
| APS.003572 | Other | OH | STATE OF OHIO MENTAL HEALTH AND ADDICTION SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.186820 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.003572 (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. Ralph Michael Captain 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 |
|---|
Ralph Michael Captain,
Po Box 212,
Xenia, OH 45385-0212
Ph: (937) 708-8348 | Ralph Michael Captain,
1 Elizabeth Pl,
Dayton, OH 45417-3445
Ph: (937) 520-4800 |
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