John Charels Gauthreaux, BA is a
Community Health Worker based in Sacramento, California. John Charels Gauthreaux is licensed to practice in * (Not Available) (license number ) and his current practice location is
3440 Viking Dr, Sacramento, California. He can be reached at his office (for appointments etc.) via phone at
(916) 262-8598.
NPI number for John Charels Gauthreaux is 1326518853 and his current mailing address is 3440 Viking Dr, Sacramento, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326518853.
Healthcare Provider's Profile
| Full Name | John Charels Gauthreaux |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3440 Viking Dr, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326518853
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 05/13/2024
Medical Identifiers
Medical identifiers for John Charels Gauthreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326518853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 20127 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (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. John Charels Gauthreaux 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 |
|---|
John Charels Gauthreaux, BA
3440 Viking Dr,
Sacramento, CA 95827-2844
Ph: (916) 262-8598 | John Charels Gauthreaux, BA
3440 Viking Dr,
Sacramento, CA 95827-2844
Ph: (916) 262-8598 |
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