Dr Jeffrey E Maple, MD is a
Family Medicine physician based in Ilwaco, Washington. Dr Jeffrey E Maple is licensed to practice in Washington (license number MD00035420) and his current practice location is 117 Spruce St, Ilwaco, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 642-2662.
NPI number for Dr Jeffrey E Maple is 1992792014 and his current mailing address is Po Box 919, Ilwaco, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992792014.
Physician's Profile
| Full Name | Dr Jeffrey E Maple |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 117 Spruce St, Ilwaco, Washington |
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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: 1992792014
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jeffrey E Maple such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992792014 | NPI | - | NPPES |
| 1012MA | Other | WA | BCBS |
| 8319055 | Medicaid | WA | |
| 178545 | Other | WA | L&I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD00035420 (Washington) | 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. Dr Jeffrey E Maple 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 |
|---|
Dr Jeffrey E Maple, MD
Po Box 919,
Ilwaco, WA 98624-0919
Ph: (360) 642-2662 | Dr Jeffrey E Maple, MD
117 Spruce St,
Ilwaco, WA 98624
Ph: (360) 642-2662 |
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