Tai Marie Paquin, LADAC is a
Counselor - Addiction (substance Use Disorder) based in Santo Domingo, New Mexico. Tai Marie Paquin is licensed to practice in New Mexico (license number 0188521) and her current practice location is
85 West Hwy 22, Santo Domingo, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 465-3060.
NPI number for Tai Marie Paquin is 1578923850 and her current mailing address is Po Box 123, New Laguna, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578923850.
Healthcare Provider's Profile
| Full Name | Tai Marie Paquin |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 85 West Hwy 22, Santo Domingo, New Mexico |
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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: 1578923850
- Provider Enumeration Date: 03/01/2016
- Last Update Date: 02/14/2018
Medical Identifiers
Medical identifiers for Tai Marie Paquin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578923850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0153781 (New Mexico) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0188521 (New Mexico) | 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. Tai Marie Paquin 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 |
|---|
Tai Marie Paquin, LADAC
Po Box 123,
New Laguna, NM 87038-0123
Ph: (505) 463-6152 | Tai Marie Paquin, LADAC
85 West Hwy 22,
Santo Domingo, NM 87052
Ph: (505) 465-3060 |
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