Deshun W Vines, is a
Case Manager/care Coordinator based in San Jose, California. Deshun W Vines is licensed to practice in California (license number ) and his current practice location is
1671 The Alameda Ste 306, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 761-9921.
NPI number for Deshun W Vines is 1134767379 and his current mailing address is 1671 The Alameda Ste 306, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134767379.
Healthcare Provider's Profile
| Full Name | Deshun W Vines |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1671 The Alameda Ste 306, San Jose, 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: 1134767379
- Provider Enumeration Date: 12/18/2019
- Last Update Date: 05/01/2020
Medical Identifiers
Medical identifiers for Deshun W Vines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134767379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (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. Deshun W Vines 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 |
|---|
Deshun W Vines,
1671 The Alameda Ste 306,
San Jose, CA 95126-2222
Ph: (408) 761-9921 | Deshun W Vines,
1671 The Alameda Ste 306,
San Jose, CA 95126-2222
Ph: (408) 761-9921 |
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