Jacqueline Godin, is a
Student In An Organized Health Care Education/training Program based in Westland, Michigan. Jacqueline Godin is licensed to practice in * (Not Available) (license number ) and her current practice location is
30555 Michigan Ave, Westland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 924-7860.
NPI number for Jacqueline Godin is 1699381152 and her current mailing address is 1748 Superior Blvd, Wyandotte, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699381152.
Healthcare Provider's Profile
| Full Name | Jacqueline Godin |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 30555 Michigan Ave, Westland, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699381152
- Provider Enumeration Date: 09/21/2020
- Last Update Date: 09/21/2020
Medical Identifiers
Medical identifiers for Jacqueline Godin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699381152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jacqueline Godin 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 |
|---|
Jacqueline Godin,
1748 Superior Blvd,
Wyandotte, MI 48192-4823
Ph: () - | Jacqueline Godin,
30555 Michigan Ave,
Westland, MI 48186-5310
Ph: (313) 924-7860 |
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