Mr Brett Buckley Maxfield, RN is a
Student In An Organized Health Care Education/training Program based in Idaho Falls, Idaho. Mr Brett Buckley Maxfield is licensed to practice in * (Not Available) (license number ) and his current practice location is
1293 Moonstone Dr, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 709-3295.
NPI number for Mr Brett Buckley Maxfield is 1457563843 and his current mailing address is 1293 Moonstone Dr, Idaho Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457563843.
Provider's Profile
| Full Name | Mr Brett Buckley Maxfield |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1293 Moonstone Dr, Idaho Falls, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457563843
- Provider Enumeration Date: 05/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Brett Buckley Maxfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457563843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | N-34179 (Idaho) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | N-34179 (Idaho) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Mr Brett Buckley Maxfield 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 Brett Buckley Maxfield, RN
1293 Moonstone Dr,
Idaho Falls, ID 83401-2411
Ph: (208) 709-3295 | Mr Brett Buckley Maxfield, RN
1293 Moonstone Dr,
Idaho Falls, ID 83401-2411
Ph: (208) 709-3295 |
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