Travis Dewitt, is a
Counselor based in Dunnegan, Missouri. Travis Dewitt is licensed to practice in * (Not Available) (license number ) and his current practice location is
749 E 390th Rd, Dunnegan, Missouri. He can be reached at his office (for appointments etc.) via phone at
(253) 278-1841.
NPI number for Travis Dewitt is 1790477503 and his current mailing address is 749 E 390th Rd, Dunnegan, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790477503.
Healthcare Provider's Profile
| Full Name | Travis Dewitt |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 749 E 390th Rd, Dunnegan, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790477503
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Travis Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790477503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (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. Travis Dewitt 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 |
|---|
Travis Dewitt,
749 E 390th Rd,
Dunnegan, MO 65640-9634
Ph: (253) 278-1841 | Travis Dewitt,
749 E 390th Rd,
Dunnegan, MO 65640-9634
Ph: (253) 278-1841 |
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