Moktar Masanamo Batibure, MOT is a
Student In An Organized Health Care Education/training Program based in Spokane, Washington. Moktar Masanamo Batibure is licensed to practice in Washington (license number CG61006256) and his current practice location is
2102 E Sprague Ave, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Moktar Masanamo Batibure is 1437664034 and his current mailing address is 107 S Division St, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437664034.
Healthcare Provider's Profile
| Full Name | Moktar Masanamo Batibure |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2102 E Sprague Ave, Spokane, Washington |
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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: 1437664034
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 11/21/2019
Medical Identifiers
Medical identifiers for Moktar Masanamo Batibure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437664034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | CG61006256 (Washington) | 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. Moktar Masanamo Batibure 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 |
|---|
Moktar Masanamo Batibure, MOT
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Moktar Masanamo Batibure, MOT
2102 E Sprague Ave,
Spokane, WA 99202-3125
Ph: (509) 838-4651 |
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