Angelina Fagundo, is a
Case Manager/care Coordinator based in Lakeport, California. Angelina Fagundo is licensed to practice in * (Not Available) (license number ) and her current practice location is
154 S Main St, Lakeport, California. She can be reached at her office (for appointments etc.) via phone at
(707) 467-2010.
NPI number for Angelina Fagundo is 1205302577 and her current mailing address is Po Box 2077, Ukiah, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205302577.
Healthcare Provider's Profile
| Full Name | Angelina Fagundo |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 154 S Main St, Lakeport, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205302577
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 10/15/2018
Medical Identifiers
Medical identifiers for Angelina Fagundo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205302577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Angelina Fagundo 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 |
|---|
Angelina Fagundo,
Po Box 2077,
Ukiah, CA 95482-2077
Ph: (707) 467-2010 | Angelina Fagundo,
154 S Main St,
Lakeport, CA 95453-5017
Ph: (707) 467-2010 |
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