Maple Tree Cancer Alliance is a
Clinical Exercise Physiologist based in Beavercreek, Ohio. Maple Tree Cancer Alliance is licensed to practice in * (Not Available) (license number ) and their current practice location is
3535 Pentagon Blvd, Beavercreek, Ohio. It can be reached at their office (for appointments etc.) via phone at
(937) 477-8213.
NPI number for Maple Tree Cancer Alliance is 1992225148 and their current mailing address is 425 N Findlay St, Dayton, Ohio. Maple Tree Cancer Alliance
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992225148.
Healthcare Provider's Profile
| Full Name | Maple Tree Cancer Alliance |
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| Type | Facility |
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| Speciality | Clinical Exercise Physiologist |
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| Location | 3535 Pentagon Blvd, Beavercreek, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992225148
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 04/09/2018
Medical Identifiers
Medical identifiers for Maple Tree Cancer Alliance such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992225148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 224Y00000X | Clinical Exercise Physiologist | (* (Not Available)) | 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. Maple Tree Cancer Alliance 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 |
|---|
Maple Tree Cancer Alliance
425 N Findlay St,
Dayton, OH 45404-2203
Ph: () - | Maple Tree Cancer Alliance
3535 Pentagon Blvd,
Beavercreek, OH 45431-1705
Ph: (937) 477-8213 |
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