Beverly Nkemdirim Omole, is a
Occupational Therapist based in Concord, California. Beverly Nkemdirim Omole is licensed to practice in California (license number 11599) and her current practice location is
1211 Trailside Cir, Concord, California. She can be reached at her office (for appointments etc.) via phone at
(562) 405-5215.
NPI number for Beverly Nkemdirim Omole is 1700909694 and her current mailing address is 1211 Trailside Cir, Concord, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700909694.
Healthcare Provider's Profile
| Full Name | Beverly Nkemdirim Omole |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1211 Trailside Cir, Concord, 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: 1700909694
- Provider Enumeration Date: 04/07/2007
- Last Update Date: 04/15/2022
Medical Identifiers
Medical identifiers for Beverly Nkemdirim Omole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700909694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 11599 (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. Beverly Nkemdirim Omole 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 |
|---|
Beverly Nkemdirim Omole,
1211 Trailside Cir,
Concord, CA 94518-2184
Ph: (562) 405-5215 | Beverly Nkemdirim Omole,
1211 Trailside Cir,
Concord, CA 94518-2184
Ph: (562) 405-5215 |
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