David Blayne Yentzen, is a
Counselor - Professional based in Round Rock, Texas. David Blayne Yentzen is licensed to practice in Texas (license number 90410) and his current practice location is
3000 Joe Dimaggio Blvd # 88-89, Round Rock, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 537-9886.
NPI number for David Blayne Yentzen is 1093401978 and his current mailing address is 100 N Tumbleweed Trl, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093401978.
Provider's Profile
| Full Name | David Blayne Yentzen |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
|---|
| Location | 3000 Joe Dimaggio Blvd # 88-89, Round Rock, Texas |
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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: 1093401978
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 04/13/2023
Medical Identifiers
Medical identifiers for David Blayne Yentzen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093401978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 626394 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 90410 (Texas) | 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. David Blayne Yentzen 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 |
|---|
David Blayne Yentzen,
100 N Tumbleweed Trl,
Austin, TX 78733-3221
Ph: () - | David Blayne Yentzen,
3000 Joe Dimaggio Blvd # 88-89,
Round Rock, TX 78665-3922
Ph: (512) 537-9886 |
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