Mr Dejon M Bennett, is a
Community Health Worker based in Stockton, California. Mr Dejon M Bennett is licensed to practice in California (license number ) and his current practice location is
1803 W March Ln Ste Candd, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 687-5865.
NPI number for Mr Dejon M Bennett is 1568169811 and his current mailing address is 1803 W March Ln Ste Candd, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568169811.
Healthcare Provider's Profile
| Full Name | Mr Dejon M Bennett |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
|---|
| Location | 1803 W March Ln Ste Candd, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568169811
- Provider Enumeration Date: 02/07/2023
- Last Update Date: 08/18/2023
Medical Identifiers
Medical identifiers for Mr Dejon M Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568169811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | 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. Mr Dejon M Bennett 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 |
|---|
Mr Dejon M Bennett,
1803 W March Ln Ste Candd,
Stockton, CA 95207-6458
Ph: (209) 687-5865 | Mr Dejon M Bennett,
1803 W March Ln Ste Candd,
Stockton, CA 95207-6458
Ph: (209) 687-5865 |
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