Andre D Carr, is a
Case Manager/care Coordinator based in Venice, California. Andre D Carr is licensed to practice in California (license number R1480760922) and his current practice location is
503 Ocean Front Walk, Venice, California. He can be reached at his office (for appointments etc.) via phone at
(310) 392-3070.
NPI number for Andre D Carr is 1629792189 and his current mailing address is 503 Ocean Front Walk, Venice, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629792189.
Healthcare Provider's Profile
| Full Name | Andre D Carr |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 503 Ocean Front Walk, Venice, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629792189
- Provider Enumeration Date: 09/28/2022
- Last Update Date: 04/08/2023
Medical Identifiers
Medical identifiers for Andre D Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629792189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1480760922 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | R1480760922 (California) | 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. Andre D Carr 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 |
|---|
Andre D Carr,
503 Ocean Front Walk,
Venice, CA 90291-2403
Ph: (310) 392-3070 | Andre D Carr,
503 Ocean Front Walk,
Venice, CA 90291
Ph: (310) 392-3070 |
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