Decola Custis, BSN, IBCLC is a
Registered Nurse - Lactation Consultant based in Melfa, Virginia. Decola Custis is licensed to practice in Virginia (license number 0001309544) and her current practice location is
27457 Beacon Rd, Melfa, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 709-4444.
NPI number for Decola Custis is 1962235804 and her current mailing address is 27457 Beacon Rd, Melfa, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962235804.
Provider's Profile
Full Name | Decola Custis |
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Gender | Female |
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Speciality | Registered Nurse - Lactation Consultant |
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Location | 27457 Beacon Rd, Melfa, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962235804
- Provider Enumeration Date: 08/26/2024
- Last Update Date: 08/26/2024
Medical Identifiers
Medical identifiers for Decola Custis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962235804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WL0100X | Registered Nurse - Lactation Consultant | 0001309544 (Virginia) | 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. Decola Custis 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 |
Decola Custis, BSN, IBCLC 27457 Beacon Rd, Melfa, VA 23410-3367 Ph: (757) 709-4444 | Decola Custis, BSN, IBCLC 27457 Beacon Rd, Melfa, VA 23410-3367 Ph: (757) 709-4444 |
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