Carolyn Denise Gentry, is a
Peer Specialist based in Youngstown, Ohio. Carolyn Denise Gentry is licensed to practice in Ohio (license number ) and her current practice location is
2151 Rush Blvd, Youngstown, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 744-1181.
NPI number for Carolyn Denise Gentry is 1801385752 and her current mailing address is 146 Sayers Ave, Niles, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801385752.
Healthcare Provider's Profile
| Full Name | Carolyn Denise Gentry |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2151 Rush Blvd, Youngstown, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801385752
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 01/27/2021
Medical Identifiers
Medical identifiers for Carolyn Denise Gentry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801385752 | NPI | - | NPPES |
| 0282408 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.165128 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | (Ohio) | 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. Carolyn Denise Gentry 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 |
|---|
Carolyn Denise Gentry,
146 Sayers Ave,
Niles, OH 44446-1725
Ph: () - | Carolyn Denise Gentry,
2151 Rush Blvd,
Youngstown, OH 44507-1535
Ph: (330) 744-1181 |
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