Deaster St Charles, is a
Student In An Organized Health Care Education/training Program based in Sacramento, California. Deaster St Charles is licensed to practice in * (Not Available) (license number ) and her current practice location is
9343 Tech Center Dr, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(510) 459-6499.
NPI number for Deaster St Charles is 1740684364 and her current mailing address is 2415 Seamist Dr, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740684364.
Healthcare Provider's Profile
| Full Name | Deaster St Charles |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9343 Tech Center Dr, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740684364
- Provider Enumeration Date: 10/09/2014
- Last Update Date: 08/06/2018
Medical Identifiers
Medical identifiers for Deaster St Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740684364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Deaster St Charles 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 |
|---|
Deaster St Charles,
2415 Seamist Dr,
Sacramento, CA 95833-2344
Ph: (510) 459-6499 | Deaster St Charles,
9343 Tech Center Dr,
Sacramento, CA 95826
Ph: (510) 459-6499 |
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