Eboni Maxwell, is a
Case Manager/care Coordinator based in Vallejo, California. Eboni Maxwell is licensed to practice in * (Not Available) (license number ) and her current practice location is
1119 Kentucky St, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(415) 879-6071.
NPI number for Eboni Maxwell is 1609422740 and her current mailing address is 1119 Kentucky St, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609422740.
Healthcare Provider's Profile
| Full Name | Eboni Maxwell |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1119 Kentucky St, Vallejo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609422740
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 09/27/2024
Medical Identifiers
Medical identifiers for Eboni Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609422740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Eboni Maxwell 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 |
|---|
Eboni Maxwell,
1119 Kentucky St,
Vallejo, CA 94590-5201
Ph: (415) 879-6071 | Eboni Maxwell,
1119 Kentucky St,
Vallejo, CA 94590-5201
Ph: (415) 879-6071 |
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