Abigail Jolee Madrigal, is a
Student In An Organized Health Care Education/training Program based in Crestline, California. Abigail Jolee Madrigal is licensed to practice in * (Not Available) (license number ) and her current practice location is
340 Hwy 138, Crestline, California. She can be reached at her office (for appointments etc.) via phone at
(909) 336-3330.
NPI number for Abigail Jolee Madrigal is 1366038655 and her current mailing address is Po Box 6300, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366038655.
Healthcare Provider's Profile
| Full Name | Abigail Jolee Madrigal |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 340 Hwy 138, Crestline, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366038655
- Provider Enumeration Date: 12/21/2020
- Last Update Date: 03/02/2023
Medical Identifiers
Medical identifiers for Abigail Jolee Madrigal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366038655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Abigail Jolee Madrigal 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 |
|---|
Abigail Jolee Madrigal,
Po Box 6300,
Crestline, CA 92325-6300
Ph: (909) 336-3330 | Abigail Jolee Madrigal,
340 Hwy 138,
Crestline, CA 92325-9232
Ph: (909) 336-3330 |
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