William Thomas Bibb Jr Jr, is a
Public Health Or Welfare based in Cleveland, Ohio. William Thomas Bibb Jr Jr is licensed to practice in Ohio (license number 161717) and his current practice location is
1675 Ansel Rd, Cleveland, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 299-7780.
NPI number for William Thomas Bibb Jr Jr is 1427574748 and his current mailing address is 1675 Ansel Rd Apt 1329, Cleveland, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427574748.
Healthcare Provider's Profile
| Full Name | William Thomas Bibb Jr Jr |
|---|
| Gender | Male |
|---|
| Speciality | Public Health Or Welfare |
|---|
| Location | 1675 Ansel Rd, Cleveland, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427574748
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for William Thomas Bibb Jr Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427574748 | NPI | - | NPPES |
| 72379863 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161717 (Ohio) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 161717 (Ohio) | Secondary |
| 103TH0100X | Psychologist - Health Service | 161717 (Ohio) | Secondary |
| 171400000X | Health & Wellness Coach | 161717 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 161717 (Ohio) | Secondary |
| 172V00000X | Community Health Worker | 161717 (Ohio) | Secondary |
| 174400000X | Specialist | 161717 (Ohio) | Secondary |
| 1744R1102X | Specialist - Research Study | 161717 (Ohio) | Secondary |
| 174H00000X | Health Educator | 161717 (Ohio) | Secondary |
| 208D00000X | General Practice | 161717 (Ohio) | Secondary |
| 225800000X | Recreation Therapist | 161717 (Ohio) | Secondary |
| 261QP0904X | Clinic/center - Public Health, Federal | 161717 (Ohio) | Secondary |
| 251K00000X | Public Health Or Welfare | 161717 (Ohio) | Primary |
| 405300000X | Prevention Professional | 161717 (Ohio) | Secondary |
| 101Y00000X | Counselor | 161717 (Ohio) | Secondary |
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. William Thomas Bibb Jr Jr 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 |
|---|
William Thomas Bibb Jr Jr,
1675 Ansel Rd Apt 1329,
Cleveland, OH 44106-4175
Ph: (216) 299-7780 | William Thomas Bibb Jr Jr,
1675 Ansel Rd,
Cleveland, OH 44106-4181
Ph: (216) 299-7780 |
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