Wakiyan Peta, LAC is a
Counselor - Addiction (substance Use Disorder) based in Eagle Butte, South Dakota. Wakiyan Peta is licensed to practice in South Dakota (license number 7051316) and his current practice location is
24276 166th St, Eagle Butte, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 964-0722.
NPI number for Wakiyan Peta is 1043090822 and his current mailing address is Po Box 83, Lantry, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043090822.
Healthcare Provider's Profile
| Full Name | Wakiyan Peta |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 24276 166th St, Eagle Butte, South Dakota |
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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: 1043090822
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 09/29/2023
Medical Identifiers
Medical identifiers for Wakiyan Peta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043090822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7051316 (South Dakota) | 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. Wakiyan Peta 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 |
|---|
Wakiyan Peta, LAC
Po Box 83,
Lantry, SD 57636-0083
Ph: (605) 200-5052 | Wakiyan Peta, LAC
24276 166th St,
Eagle Butte, SD 57625-8141
Ph: (605) 964-0722 |
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