Patrick Medland, LCSW, LMHC, LMFT is a
Social Worker - Clinical based in Bloomington, Indiana. Patrick Medland is licensed to practice in Indiana (license number 34002601A) and his current practice location is
655 S Clarizz Blvd, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 335-5890.
NPI number for Patrick Medland is 1922075209 and his current mailing address is 655 S Clarizz Blvd, Bloomington, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922075209.
Healthcare Provider's Profile
| Full Name | Patrick Medland |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 655 S Clarizz Blvd, Bloomington, Indiana |
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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: 1922075209
- Provider Enumeration Date: 03/04/2006
- Last Update Date: 04/29/2009
Medical Identifiers
Medical identifiers for Patrick Medland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922075209 | NPI | - | NPPES |
| 000000316246 | Other | | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 39000428A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34002601A (Indiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 35000705A (Indiana) | Secondary |
| 101Y00000X | Counselor | 34002601A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34002601A (Indiana) | 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. Patrick Medland 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 |
|---|
Patrick Medland, LCSW, LMHC, LMFT
655 S Clarizz Blvd,
Bloomington, IN 47401-5523
Ph: (812) 335-5890 | Patrick Medland, LCSW, LMHC, LMFT
655 S Clarizz Blvd,
Bloomington, IN 47401-5523
Ph: (812) 335-5890 |
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