Mr Marvin Fangman, MA, IAADC is a
Counselor - Addiction (substance Use Disorder) based in Prairie City, Iowa. Mr Marvin Fangman is licensed to practice in Iowa (license number 10167) and his current practice location is
501 North Sherman, Prairie City, Iowa. He can be reached at his office (for appointments etc.) via phone at
(515) 994-3562.
NPI number for Mr Marvin Fangman is 1245613108 and his current mailing address is 15806 Wildwood Drive, Clive, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245613108.
Healthcare Provider's Profile
| Full Name | Mr Marvin Fangman |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 501 North Sherman, Prairie City, Iowa |
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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: 1245613108
- Provider Enumeration Date: 07/09/2015
- Last Update Date: 07/09/2015
Medical Identifiers
Medical identifiers for Mr Marvin Fangman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245613108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10167 (Iowa) | Primary |
| 104100000X | Social Worker | 0-24094-1B (Virgin Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | 01546 (Iowa) | Secondary |
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 Marvin Fangman 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 Marvin Fangman, MA, IAADC
15806 Wildwood Drive,
Clive, IA 50325
Ph: (515) 371-1166 | Mr Marvin Fangman, MA, IAADC
501 North Sherman,
Prairie City, IA 50228
Ph: (515) 994-3562 |
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