Namiyah Reddicks, is a
Student In An Organized Health Care Education/training Program based in Winston Salem, North Carolina. Namiyah Reddicks is licensed to practice in North Carolina (license number ) and her current practice location is
601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 750-3174.
NPI number for Namiyah Reddicks is 1164123352 and her current mailing address is 522 Kallamdale Rd Apt 102, Greensboro, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164123352.
Healthcare Provider's Profile
| Full Name | Namiyah Reddicks |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164123352
- Provider Enumeration Date: 03/14/2023
- Last Update Date: 03/14/2023
Medical Identifiers
Medical identifiers for Namiyah Reddicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164123352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | 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. Namiyah Reddicks 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 |
|---|
Namiyah Reddicks,
522 Kallamdale Rd Apt 102,
Greensboro, NC 27406-9978
Ph: (540) 492-2808 | Namiyah Reddicks,
601 S Martin Luther King Jr Dr Fl 432,
Winston Salem, NC 27110-0003
Ph: (336) 750-3174 |
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