Derrick Eugene Shepherd, is a
Counselor - Mental Health based in Richvale, California. Derrick Eugene Shepherd is licensed to practice in * (Not Available) (license number ) and his current practice location is
1229 Broadway St, Richvale, California. He can be reached at his office (for appointments etc.) via phone at
(530) 882-4125.
NPI number for Derrick Eugene Shepherd is 1639711310 and his current mailing address is 350 Main St, Quincy, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639711310.
Healthcare Provider's Profile
Full Name | Derrick Eugene Shepherd |
---|
Gender | Male |
---|
Speciality | Counselor - Mental Health |
---|
Location | 1229 Broadway St, Richvale, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639711310
- Provider Enumeration Date: 10/14/2019
- Last Update Date: 01/14/2021
Medical Identifiers
Medical identifiers for Derrick Eugene Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639711310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Derrick Eugene Shepherd 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 |
Derrick Eugene Shepherd, 350 Main St, Quincy, CA 95971 Ph: (530) 283-3330 | Derrick Eugene Shepherd, 1229 Broadway St, Richvale, CA 95974 Ph: (530) 882-4125 |
Reviews and Comments