Willie Nick David, is a
Counselor based in Kwethluk, Alaska. Willie Nick David is licensed to practice in * (Not Available) (license number ) and his current practice location is
49 Airport Road, Kwethluk, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 757-6627.
NPI number for Willie Nick David is 1184901035 and his current mailing address is Po Box 69, Kwethluk, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184901035.
Healthcare Provider's Profile
| Full Name | Willie Nick David |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 49 Airport Road, Kwethluk, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184901035
- Provider Enumeration Date: 11/07/2011
- Last Update Date: 01/15/2014
Medical Identifiers
Medical identifiers for Willie Nick David such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184901035 | NPI | - | NPPES |
| 1020986 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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. Willie Nick David 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 |
|---|
Willie Nick David,
Po Box 69,
Kwethluk, AK 99621
Ph: (907) 757-6627 | Willie Nick David,
49 Airport Road,
Kwethluk, AK 99621
Ph: (907) 757-6627 |
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