Douglas Vader, is a
Social Worker based in Yreka, California. Douglas Vader is licensed to practice in * (Not Available) (license number ) and his current practice location is
1215 S Main St, Yreka, California. He can be reached at his office (for appointments etc.) via phone at
(530) 841-4200.
NPI number for Douglas Vader is 1861517310 and his current mailing address is 1215 S Main St, Yreka, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861517310.
Healthcare Provider's Profile
Full Name | Douglas Vader |
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Gender | Male |
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Speciality | Social Worker |
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Location | 1215 S Main St, Yreka, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861517310
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 03/13/2008
Medical Identifiers
Medical identifiers for Douglas Vader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861517310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (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. Douglas Vader 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 |
Douglas Vader, 1215 S Main St, Yreka, CA 96097-3479 Ph: (530) 841-4200 | Douglas Vader, 1215 S Main St, Yreka, CA 96097-3479 Ph: (530) 841-4200 |
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