William Wade Middleton, LPT/PET CLINICIAN is a
Licensed Psychiatric Technician based in Lynwood, California. William Wade Middleton is licensed to practice in California (license number PT26958) and his current practice location is
3630 E Imperial Hwy, Lynwood, California. He can be reached at his office (for appointments etc.) via phone at
(301) 900-8210.
NPI number for William Wade Middleton is 1922488923 and his current mailing address is 919 Olive Ave, Huntington Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922488923.
Healthcare Provider's Profile
| Full Name | William Wade Middleton |
|---|
| Gender | Male |
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| Speciality | Licensed Psychiatric Technician |
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| Location | 3630 E Imperial Hwy, Lynwood, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922488923
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 08/28/2019
Medical Identifiers
Medical identifiers for William Wade Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922488923 | NPI | - | NPPES |
| 167G00000X | Other | CA | ADDTAXONMY |
| 1245227180 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PT26958 (California) | Secondary |
| 167G00000X | Licensed Psychiatric Technician | PT26958 (California) | 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. William Wade Middleton 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 Wade Middleton, LPT/PET CLINICIAN
919 Olive Ave,
Huntington Beach, CA 92648-4809
Ph: (714) 591-3856 | William Wade Middleton, LPT/PET CLINICIAN
3630 E Imperial Hwy,
Lynwood, CA 90262-2609
Ph: (301) 900-8210 |
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