Chaliss Kirkendoll, is a
Case Manager/care Coordinator based in Oakland, California. Chaliss Kirkendoll is licensed to practice in * (Not Available) (license number ) and her current practice location is
401 Roland Way Ste 100, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 746-2800.
NPI number for Chaliss Kirkendoll is 1144939802 and her current mailing address is 401 Roland Way Ste 100, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144939802.
Healthcare Provider's Profile
| Full Name | Chaliss Kirkendoll |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 401 Roland Way Ste 100, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144939802
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Chaliss Kirkendoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144939802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Chaliss Kirkendoll 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 |
|---|
Chaliss Kirkendoll,
401 Roland Way Ste 100,
Oakland, CA 94621-2034
Ph: (510) 746-2800 | Chaliss Kirkendoll,
401 Roland Way Ste 100,
Oakland, CA 94621-2034
Ph: (510) 746-2800 |
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