Daniel Lide, is a
Student In An Organized Health Care Education/training Program based in Las Vegas, Nevada. Daniel Lide is licensed to practice in * (Not Available) (license number ) and his current practice location is
2880 N Tenaya Way, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 962-9551.
NPI number for Daniel Lide is 1609244839 and his current mailing address is 2880 N Tenaya Way, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609244839.
Healthcare Provider's Profile
| Full Name | Daniel Lide |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2880 N Tenaya Way, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609244839
- Provider Enumeration Date: 09/03/2015
- Last Update Date: 03/16/2024
Medical Identifiers
Medical identifiers for Daniel Lide such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609244839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Daniel Lide 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 |
|---|
Daniel Lide,
2880 N Tenaya Way,
Las Vegas, NV 89128-0618
Ph: (702) 962-9551 | Daniel Lide,
2880 N Tenaya Way,
Las Vegas, NV 89128-0618
Ph: (702) 962-9551 |
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