Stevan Eric Waleff, ATC, RN-BSN is a
Specialist/technologist - Athletic Trainer based in Greenville, Pennsylvania. Stevan Eric Waleff is licensed to practice in Pennsylvania (license number RT001078A) and his current practice location is
531 Reynolds Rd, Greenville, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 646-5719.
NPI number for Stevan Eric Waleff is 1407496524 and his current mailing address is 531 Reynolds Road, Greenville, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407496524.
Provider's Profile
Full Name | Stevan Eric Waleff |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 531 Reynolds Rd, Greenville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407496524
- Provider Enumeration Date: 01/07/2020
- Last Update Date: 01/07/2020
Medical Identifiers
Medical identifiers for Stevan Eric Waleff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407496524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN509797L (Pennsylvania) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | RT001078A (Pennsylvania) | 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. Stevan Eric Waleff 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 |
Stevan Eric Waleff, ATC, RN-BSN 531 Reynolds Road, Greenville, PA 16125 Ph: (724) 646-5719 | Stevan Eric Waleff, ATC, RN-BSN 531 Reynolds Rd, Greenville, PA 16125-8889 Ph: (724) 646-5719 |
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