Maile Grace Davelaar, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Peshastin, Washington. Her current practice location is
10090 Main St Apt H, Peshastin, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 676-6009.
Maile Grace Davelaar is licensed to practice in Washington (license number LF60195205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366758864.
Healthcare Provider's Profile
Full Name | Maile Grace Davelaar |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 10090 Main St Apt H, Peshastin, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366758864
- Provider Enumeration Date: 08/23/2010
- Last Update Date: 10/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 1355861824
- Enrollment ID: I20250227001470
Medical Identifiers
Medical identifiers for Maile Grace Davelaar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366758864 | NPI | - | NPPES |
2050159 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LF60195205 (Washington) | 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. Maile Grace Davelaar is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maile Grace Davelaar, LMFT 9041 Derby Canyon Rd, Peshastin, WA 98847-9754 Ph: (509) 679-8749 | Maile Grace Davelaar, LMFT 10090 Main St Apt H, Peshastin, WA 98847-9770 Ph: (509) 676-6009 |
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