Mr Russ Kingman Decker Jr, MS is a
Marriage & Family Therapist based in Running Springs, California. Mr Russ Kingman Decker Jr is licensed to practice in California (license number 51257) and his current practice location is
32184 Cove Circle, Running Springs, California. He can be reached at his office (for appointments etc.) via phone at
(909) 867-4879.
NPI number for Mr Russ Kingman Decker Jr is 1932310802 and his current mailing address is 32184 Cove Circle, P.o. Box 3254, Running Springs, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932310802.
Healthcare Provider's Profile
Full Name | Mr Russ Kingman Decker Jr |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 32184 Cove Circle, Running Springs, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932310802
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Russ Kingman Decker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932310802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 51257 (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. Mr Russ Kingman Decker 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 |
Mr Russ Kingman Decker Jr, MS 32184 Cove Circle, P.o. Box 3254, Running Springs, CA 92382 Ph: (909) 867-4879 | Mr Russ Kingman Decker Jr, MS 32184 Cove Circle, Running Springs, CA 92382 Ph: (909) 867-4879 |
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