Veomany Phouthavong, CDCA is a
Peer Specialist based in Columbus, Ohio. Veomany Phouthavong is licensed to practice in * (Not Available) (license number ) and her current practice location is
4177 E Broad St, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 697-1313.
NPI number for Veomany Phouthavong is 1194474502 and her current mailing address is 4214 E Main St, Whitehall, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194474502.
Healthcare Provider's Profile
Full Name | Veomany Phouthavong |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 4177 E Broad St, Columbus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194474502
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 02/07/2023
Medical Identifiers
Medical identifiers for Veomany Phouthavong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194474502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180611 (Ohio) | Secondary |
175T00000X | Peer Specialist | (* (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. Veomany Phouthavong 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 |
Veomany Phouthavong, CDCA 4214 E Main St, Whitehall, OH 43213-3028 Ph: (614) 697-1313 | Veomany Phouthavong, CDCA 4177 E Broad St, Columbus, OH 43213-1217 Ph: (614) 697-1313 |
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