Phillip Washington Sr, is a
Community Health Worker based in Las Vegas, Nevada. Phillip Washington Sr is licensed to practice in Nevada (license number CHW1-6167) and his current practice location is
5025 Nellis Oasis Ln Apt 244, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(714) 499-6232.
NPI number for Phillip Washington Sr is 1083090609 and his current mailing address is 5025 Nellis Oasis Ln Apt 244, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083090609.
Healthcare Provider's Profile
| Full Name | Phillip Washington Sr |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 5025 Nellis Oasis Ln Apt 244, Las Vegas, Nevada |
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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: 1083090609
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Phillip Washington Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083090609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | 26-0-086-469 (California) | Secondary |
| 172V00000X | Community Health Worker | CHW1-6167 (Nevada) | 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. Phillip Washington Sr 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 |
|---|
Phillip Washington Sr,
5025 Nellis Oasis Ln Apt 244,
Las Vegas, NV 89115-0770
Ph: (714) 499-6232 | Phillip Washington Sr,
5025 Nellis Oasis Ln Apt 244,
Las Vegas, NV 89115-0770
Ph: (714) 499-6232 |
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