Brandy Rene Douglas, is a
Community Health Worker based in Grass Valley, California. Brandy Rene Douglas is licensed to practice in * (Not Available) (license number ) and her current practice location is
500 Crown Point Cir Ste 120, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(530) 265-1437.
NPI number for Brandy Rene Douglas is 1023729118 and her current mailing address is 500 Crown Point Cir Ste 120, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023729118.
Healthcare Provider's Profile
Full Name | Brandy Rene Douglas |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 500 Crown Point Cir Ste 120, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023729118
- Provider Enumeration Date: 12/08/2022
- Last Update Date: 12/28/2023
Medical Identifiers
Medical identifiers for Brandy Rene Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023729118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Brandy Rene Douglas 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 |
Brandy Rene Douglas, 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 Ph: (530) 265-1437 | Brandy Rene Douglas, 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 Ph: (530) 265-1437 |
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