Wilfred Wallang Ebua, is a
Psychologist - Intellectual & Developmental Disabilities based in Greenwood, Missouri. Wilfred Wallang Ebua is licensed to practice in * (Not Available) (license number ) and his current practice location is
1905 Arapahoe Ct, Greenwood, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 419-1294.
NPI number for Wilfred Wallang Ebua is 1528313947 and his current mailing address is 1905 Arapahoe Ct, Greenwood, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528313947.
Healthcare Provider's Profile
| Full Name | Wilfred Wallang Ebua |
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| Gender | Male |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 1905 Arapahoe Ct, Greenwood, Missouri |
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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: 1528313947
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 07/23/2012
Medical Identifiers
Medical identifiers for Wilfred Wallang Ebua such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528313947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | 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. Wilfred Wallang Ebua 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 |
|---|
Wilfred Wallang Ebua,
1905 Arapahoe Ct,
Greenwood, MO 64034-8636
Ph: (816) 419-1294 | Wilfred Wallang Ebua,
1905 Arapahoe Ct,
Greenwood, MO 64034-8636
Ph: (816) 419-1294 |
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