Candy Jane Wilson, is a
Peer Specialist based in Sacramento, California. Candy Jane Wilson is licensed to practice in California (license number MPSS-UJSXAN) and her current practice location is
4441 Auburn Blvd, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 473-5764.
NPI number for Candy Jane Wilson is 1194209486 and her current mailing address is 8912 Volunteer Ln, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194209486.
Healthcare Provider's Profile
Full Name | Candy Jane Wilson |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 4441 Auburn Blvd, Sacramento, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194209486
- Provider Enumeration Date: 09/21/2018
- Last Update Date: 09/22/2023
Medical Identifiers
Medical identifiers for Candy Jane Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194209486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | MPSS-UJSXAN (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. Candy Jane Wilson 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 |
Candy Jane Wilson, 8912 Volunteer Ln, Sacramento, CA 95826-3221 Ph: (916) 344-0199 | Candy Jane Wilson, 4441 Auburn Blvd, Sacramento, CA 95841-4139 Ph: (916) 473-5764 |
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