Ms Phyllis Darlington Havens, RD, LCSW is a
Dietitian, Registered based in Bangor, Maine. Ms Phyllis Darlington Havens is licensed to practice in Maine (license number D198) and her current practice location is
40 Summer St, Bangor, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 990-3896.
NPI number for Ms Phyllis Darlington Havens is 1528275385 and her current mailing address is 60 Kennebec Rd, Hampden, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528275385.
Healthcare Provider's Profile
| Full Name | Ms Phyllis Darlington Havens |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 40 Summer St, Bangor, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528275385
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Phyllis Darlington Havens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528275385 | NPI | - | NPPES |
| 002160 | Other | ME | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LC6946 (Maine) | Primary |
| 133V00000X | Dietitian, Registered | D198 (Maine) | 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. Ms Phyllis Darlington Havens 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 |
|---|
Ms Phyllis Darlington Havens, RD, LCSW
60 Kennebec Rd,
Hampden, ME 04444-1341
Ph: (207) 862-2349 | Ms Phyllis Darlington Havens, RD, LCSW
40 Summer St,
Bangor, ME 04401-6446
Ph: (207) 990-3896 |
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