Emanuel Montez Waddell, is a
Nurse Practitioner - Family based in Wakefield, Virginia. Emanuel Montez Waddell is licensed to practice in Virginia (license number 0024191239) and his current practice location is
109 Railroad Ave, Wakefield, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 312-8730.
NPI number for Emanuel Montez Waddell is 1760835342 and his current mailing address is 109 Railroad Ave, Wakefield, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760835342.
Provider's Profile
| Full Name | Emanuel Montez Waddell |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 109 Railroad Ave, Wakefield, Virginia |
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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: 1760835342
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 05/22/2025
Medical Identifiers
Medical identifiers for Emanuel Montez Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760835342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 790297 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP138266 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024191239 (Virginia) | 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. Emanuel Montez Waddell 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 |
|---|
Emanuel Montez Waddell,
109 Railroad Ave,
Wakefield, VA 23888
Ph: (757) 312-8730 | Emanuel Montez Waddell,
109 Railroad Ave,
Wakefield, VA 23888-0097
Ph: (757) 312-8730 |
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