Mr Elmer Waller, in Kotzebue, AK - Counselor

Mr Elmer Waller, is a Counselor - Addiction (substance Use Disorder) based in Kotzebue, Alaska. Mr Elmer Waller is licensed to practice in * (Not Available) (license number ) and his current practice location is 436 5th Street Ted Stevens Way, Kotzebue, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 442-7640.

NPI number for Mr Elmer Waller is 1013152800 and his current mailing address is 436 5th Street Ted Stevens Way, Kotzebue, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013152800.

Contact Information

	Mr Elmer Waller,
	436 5th Street Ted Stevens Way, Kotzebue, AK 99752
	(907) 442-7640
	(907) 442-7822

Healthcare Provider's Profile

Full Name	Mr Elmer Waller
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	436 5th Street Ted Stevens Way, Kotzebue, Alaska
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1013152800
Provider Enumeration Date: 12/08/2008
Last Update Date: 12/08/2008

Medical Identifiers

Medical identifiers for Mr Elmer Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013152800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (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. Mr Elmer Waller 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
Mr Elmer Waller, 436 5th Street Ted Stevens Way, Kotzebue, AK 99752 Ph: (907) 442-7640	Mr Elmer Waller, 436 5th Street Ted Stevens Way, Kotzebue, AK 99752 Ph: (907) 442-7640

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Counselor in Kotzebue, AK

Karen Elizabeth Schmidt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7612 Fax: 907-442-7749
Lavonne Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 5th Street Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7640
Renetta L Hobson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 Second Avenue, Kotzebue, AK 99752 Phone: 907-442-7738
Dylan Patrick Schouppe, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Ave, Kotzebue, AK 99752 Phone: 907-442-7640
Mr. William G. Westbrook, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 2nd Avenue, Kotzebue, AK 99752 Phone: 907-442-7640
Mr. Yiyuk Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 436 5thstreet Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7760 Fax: 907-442-7749

Mr Elmer Waller, - Counselor in Kotzebue, AK