Dee Dee King, is a
Case Manager/care Coordinator based in Crestline, California. Dee Dee King is licensed to practice in * (Not Available) (license number ) and her current practice location is
340 Hwy 138, Crestline, California. She can be reached at her office (for appointments etc.) via phone at
(909) 336-3330.
NPI number for Dee Dee King is 1881913051 and her current mailing address is Po Box 6300, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881913051.
Healthcare Provider's Profile
| Full Name | Dee Dee King |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 340 Hwy 138, Crestline, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881913051
- Provider Enumeration Date: 05/26/2010
- Last Update Date: 12/15/2020
Medical Identifiers
Medical identifiers for Dee Dee King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881913051 | NPI | - | NPPES |
| CMM70956F | Medicaid | CA | |
| 196856000 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 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. Dee Dee King 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 |
|---|
Dee Dee King,
Po Box 6300,
Crestline, CA 92325-6300
Ph: (909) 336-3330 | Dee Dee King,
340 Hwy 138,
Crestline, CA 92325-6300
Ph: (909) 336-3330 |
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