Mark Chamberlain, is a
Psychologist based in Roosevelt, Utah. Mark Chamberlain is licensed to practice in Utah (license number 317549-2501) and his current practice location is
285 W 800 S, Roosevelt, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 725-6300.
NPI number for Mark Chamberlain is 1447444906 and his current mailing address is 1087 W 100 S, Layton, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447444906.
Healthcare Provider's Profile
| Full Name | Mark Chamberlain |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 285 W 800 S, Roosevelt, Utah |
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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: 1447444906
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 08/28/2007
Medical Identifiers
Medical identifiers for Mark Chamberlain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447444906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 317549-2501 (Utah) | 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. Mark Chamberlain 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 |
|---|
Mark Chamberlain,
1087 W 100 S,
Layton, UT 84041-5266
Ph: (435) 725-6300 | Mark Chamberlain,
285 W 800 S,
Roosevelt, UT 84066-3707
Ph: (435) 725-6300 |
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