Mr Kevin Panyanouvong, LCSW is a
Social Worker - Clinical based in Modesto, California. Mr Kevin Panyanouvong is licensed to practice in California (license number 25999) and his current practice location is
800 Scenic Dr, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 525-6225.
NPI number for Mr Kevin Panyanouvong is 1033245857 and his current mailing address is 800 Scenic Dr, Modesto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033245857.
Healthcare Provider's Profile
Full Name | Mr Kevin Panyanouvong |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 800 Scenic Dr, Modesto, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033245857
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 12/20/2021
Medical Identifiers
Medical identifiers for Mr Kevin Panyanouvong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033245857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 25999 (California) | 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 Kevin Panyanouvong 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 Kevin Panyanouvong, LCSW 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225 | Mr Kevin Panyanouvong, LCSW 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225 |
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