Rickey Walquist, DO is a
Internal Medicine physician based in Lido Beach, New York. Rickey Walquist is licensed to practice in New York (license number 147008) and his current practice location is 8 Nantwick St, Lido Beach, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 889-3442.
NPI number for Rickey Walquist is 1063425239 and his current mailing address is 8 Nantwick St, Lido Beach, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063425239.
Physician's Profile
| Full Name | Rickey Walquist |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8 Nantwick St, Lido Beach, New York |
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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: 1063425239
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 02/29/2016
Medical Identifiers
Medical identifiers for Rickey Walquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063425239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 147008 (New York) | 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. Rickey Walquist 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 |
|---|
Rickey Walquist, DO
8 Nantwick St,
Lido Beach, NY 11561-5020
Ph: (516) 889-3442 | Rickey Walquist, DO
8 Nantwick St,
Lido Beach, NY 11561-5020
Ph: (516) 889-3442 |
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