Cassaundra Cretian, is a
Case Manager/care Coordinator based in Poplar Bluff, Missouri. Cassaundra Cretian is licensed to practice in * (Not Available) (license number ) and her current practice location is
2995 Warrior Ln, Poplar Bluff, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 712-2902.
NPI number for Cassaundra Cretian is 1598398067 and her current mailing address is 2995 Warrior Ln, Poplar Bluff, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598398067.
Healthcare Provider's Profile
| Full Name | Cassaundra Cretian |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2995 Warrior Ln, Poplar Bluff, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598398067
- Provider Enumeration Date: 02/12/2020
- Last Update Date: 07/11/2023
Medical Identifiers
Medical identifiers for Cassaundra Cretian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598398067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Cassaundra Cretian 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 |
|---|
Cassaundra Cretian,
2995 Warrior Ln,
Poplar Bluff, MO 63901-8600
Ph: (573) 712-2902 | Cassaundra Cretian,
2995 Warrior Ln,
Poplar Bluff, MO 63901-8600
Ph: (573) 712-2902 |
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