Billy Burke Iv, is a
Community Health Worker based in Stockton, California. Billy Burke Iv is licensed to practice in * (Not Available) (license number ) and his current practice location is
1414 N California St, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 468-8700.
NPI number for Billy Burke Iv is 1922483932 and his current mailing address is Po Box 477, Dixon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922483932.
Healthcare Provider's Profile
| Full Name | Billy Burke Iv |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 1414 N California St, Stockton, 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: 1922483932
- Provider Enumeration Date: 07/21/2015
- Last Update Date: 04/02/2024
Medical Identifiers
Medical identifiers for Billy Burke Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922483932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | APCC4938 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | 4938 (California) | Secondary |
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. Billy Burke Iv 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 |
|---|
Billy Burke Iv,
Po Box 477,
Dixon, CA 95620-0477
Ph: (707) 693-5055 | Billy Burke Iv,
1414 N California St,
Stockton, CA 95202-1515
Ph: (209) 468-8700 |
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