Alexander Widas, BS, LMT, CHT, REV is a
Counselor based in Larkspur, California. Alexander Widas is licensed to practice in Vermont (license number 097.0135085) and his current practice location is
323 Wilson Way, Larkspur, California. He can be reached at his office (for appointments etc.) via phone at
(609) 351-1988.
NPI number for Alexander Widas is 1114659927 and his current mailing address is 306 Redstone Blvd, Carbondale, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114659927.
Healthcare Provider's Profile
| Full Name | Alexander Widas |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
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| Location | 323 Wilson Way, Larkspur, California |
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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: 1114659927
- Provider Enumeration Date: 06/29/2022
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Alexander Widas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114659927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | MT.0024401 (Colorado) | Secondary |
| 225700000X | Massage Therapist | 164.0000760 (Vermont) | Secondary |
| 101Y00000X | Counselor | 097.0135085 (Vermont) | 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. Alexander Widas 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 |
|---|
Alexander Widas, BS, LMT, CHT, REV
306 Redstone Blvd,
Carbondale, CO 81623-8926
Ph: (609) 351-1988 | Alexander Widas, BS, LMT, CHT, REV
323 Wilson Way,
Larkspur, CA 94939-1938
Ph: (609) 351-1988 |
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