Ms Beverly Jane Dierking, BHS-LLL is a
Case Manager/care Coordinator based in Indio, California. Ms Beverly Jane Dierking is licensed to practice in California (license number C04700117) and her current practice location is
44199 Monroe St, Indio, California. She can be reached at her office (for appointments etc.) via phone at
(951) 751-5050.
NPI number for Ms Beverly Jane Dierking is 1073986428 and her current mailing address is 44199 Monroe St, Indio, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073986428.
Healthcare Provider's Profile
| Full Name | Ms Beverly Jane Dierking |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 44199 Monroe St, Indio, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073986428
- Provider Enumeration Date: 11/06/2015
- Last Update Date: 06/19/2024
Medical Identifiers
Medical identifiers for Ms Beverly Jane Dierking such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073986428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00-85-0200517 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C040700117 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | C04700117 (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. Ms Beverly Jane Dierking 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 |
|---|
Ms Beverly Jane Dierking, BHS-LLL
44199 Monroe St,
Indio, CA 92201-3096
Ph: (951) 751-5050 | Ms Beverly Jane Dierking, BHS-LLL
44199 Monroe St,
Indio, CA 92201-3096
Ph: (951) 751-5050 |
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