Roberta Carol Villa, RN is a
Licensed Practical Nurse based in Warm Springs, Oregon. Roberta Carol Villa is licensed to practice in Oklahoma (license number 83433) and her current practice location is
1270 Kot-num Road, Warm Springs, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 553-1196.
NPI number for Roberta Carol Villa is 1821306085 and her current mailing address is Po Box 1209, 1270 Kot Num Road, Warm Springs, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821306085.
Provider's Profile
| Full Name | Roberta Carol Villa |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1270 Kot-num Road, Warm Springs, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821306085
- Provider Enumeration Date: 09/21/2010
- Last Update Date: 09/21/2010
Medical Identifiers
Medical identifiers for Roberta Carol Villa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821306085 | NPI | - | NPPES |
| MCR HS2204 | Other | | MEDICARE |
| 273855 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 83433 (Oklahoma) | 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. Roberta Carol Villa 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 |
|---|
Roberta Carol Villa, RN
Po Box 1209, 1270 Kot Num Road,
Warm Springs, OR 97761-1209
Ph: (541) 553-1196 | Roberta Carol Villa, RN
1270 Kot-num Road,
Warm Springs, OR 97761
Ph: (541) 553-1196 |
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