Dazie Rustin Grego, is a
Case Manager/care Coordinator based in Oakland, California. Dazie Rustin Grego is licensed to practice in * (Not Available) (license number ) and his current practice location is
629 Oakland Ave, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 658-9480.
NPI number for Dazie Rustin Grego is 1629832712 and his current mailing address is 390 40th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629832712.
Healthcare Provider's Profile
| Full Name | Dazie Rustin Grego |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 629 Oakland Ave, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629832712
- Provider Enumeration Date: 02/08/2024
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Dazie Rustin Grego such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629832712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 101Y00000X (California) | 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. Dazie Rustin Grego 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 |
|---|
Dazie Rustin Grego,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 613-0330 | Dazie Rustin Grego,
629 Oakland Ave,
Oakland, CA 94611-4567
Ph: (510) 658-9480 |
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