William Declue, is a
Nurse Practitioner - Family based in Foristell, Missouri. William Declue is licensed to practice in Missouri (license number 2016010737) and his current practice location is
239 Victoria Park Ave, Foristell, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 740-9593.
NPI number for William Declue is 1932657251 and his current mailing address is 239 Victoria Park Ave, Foristell, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932657251.
Provider's Profile
Full Name | William Declue |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 239 Victoria Park Ave, Foristell, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932657251
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 09/15/2016
Medical Identifiers
Medical identifiers for William Declue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932657251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2016010737 (Missouri) | 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. William Declue 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 |
William Declue, 239 Victoria Park Ave, Foristell, MO 63348-1271 Ph: (314) 740-9593 | William Declue, 239 Victoria Park Ave, Foristell, MO 63348-1271 Ph: (314) 740-9593 |
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