Ceddric Bermudez, is a
Case Manager/care Coordinator based in San Luis Obispo, California. Ceddric Bermudez is licensed to practice in * (Not Available) (license number ) and his current practice location is
784 High St, San Luis Obispo, California. He can be reached at his office (for appointments etc.) via phone at
(805) 540-6500.
NPI number for Ceddric Bermudez is 1669254702 and his current mailing address is Po Box 15408, San Luis Obispo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669254702.
Healthcare Provider's Profile
| Full Name | Ceddric Bermudez |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 784 High St, San Luis Obispo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669254702
- Provider Enumeration Date: 10/13/2023
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Ceddric Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669254702 | 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. Ceddric Bermudez 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 |
|---|
Ceddric Bermudez,
Po Box 15408,
San Luis Obispo, CA 93406-5408
Ph: (805) 540-6500 | Ceddric Bermudez,
784 High St,
San Luis Obispo, CA 93401-5243
Ph: (805) 540-6500 |
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