Mr Nathaniel Bush Jr, is a
Rehabilitation Practitioner based in Lake View Terrace, California. Mr Nathaniel Bush Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
11600 Eldridge Ave, Lake View Terrace, California. He can be reached at his office (for appointments etc.) via phone at
(818) 686-3000.
NPI number for Mr Nathaniel Bush Jr is 1114499902 and his current mailing address is 11600 Eldridge Ave, Lake View Terrace, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114499902.
Healthcare Provider's Profile
| Full Name | Mr Nathaniel Bush Jr |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 11600 Eldridge Ave, Lake View Terrace, 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: 1114499902
- Provider Enumeration Date: 12/18/2018
- Last Update Date: 05/06/2020
Medical Identifiers
Medical identifiers for Mr Nathaniel Bush Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114499902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (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. Mr Nathaniel Bush Jr 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 |
|---|
Mr Nathaniel Bush Jr,
11600 Eldridge Ave,
Lake View Terrace, CA 91342-6506
Ph: (818) 686-3000 | Mr Nathaniel Bush Jr,
11600 Eldridge Ave,
Lake View Terrace, CA 91342-6506
Ph: (818) 686-3000 |
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