Mr Paul Leland Carmickle Iii, LPN is a
Licensed Practical Nurse based in Dublin, California. Mr Paul Leland Carmickle Iii is licensed to practice in California (license number VN216078) and his current practice location is
Bld 510 Parks Rfta, Dublin, California. He can be reached at his office (for appointments etc.) via phone at
(925) 875-4037.
NPI number for Mr Paul Leland Carmickle Iii is 1700800836 and his current mailing address is 249 Timber Wolf Ct, Dublin, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700800836.
Provider's Profile
| Full Name | Mr Paul Leland Carmickle Iii |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | Bld 510 Parks Rfta, Dublin, California |
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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: 1700800836
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Paul Leland Carmickle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700800836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | VN216078 (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 Paul Leland Carmickle Iii 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 Paul Leland Carmickle Iii, LPN
249 Timber Wolf Ct,
Dublin, CA 94568-4316
Ph: (301) 524-7044 | Mr Paul Leland Carmickle Iii, LPN
Bld 510 Parks Rfta,
Dublin, CA 94568
Ph: (925) 875-4037 |
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