Carly Lynn Gunnersen, is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Carly Lynn Gunnersen is licensed to practice in * (Not Available) (license number ) and her current practice location is
2865 Logan Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 232-4357.
NPI number for Carly Lynn Gunnersen is 1831712793 and her current mailing address is 2865 Logan Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831712793.
Healthcare Provider's Profile
| Full Name | Carly Lynn Gunnersen |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2865 Logan Ave, San Diego, 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: 1831712793
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 06/04/2020
Medical Identifiers
Medical identifiers for Carly Lynn Gunnersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831712793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Carly Lynn Gunnersen 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 |
|---|
Carly Lynn Gunnersen,
2865 Logan Ave,
San Diego, CA 92113-2411
Ph: (619) 232-4357 | Carly Lynn Gunnersen,
2865 Logan Ave,
San Diego, CA 92113-2411
Ph: (619) 232-4357 |
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