Edward Kelly Wright, is a
Community Health Worker based in San Leandro, California. Edward Kelly Wright is licensed to practice in * (Not Available) (license number ) and his current practice location is
2275 Arlington Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Edward Kelly Wright is 1235711383 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235711383.
Healthcare Provider's Profile
| Full Name | Edward Kelly Wright |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2275 Arlington Dr, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235711383
- Provider Enumeration Date: 04/27/2021
- Last Update Date: 06/08/2021
Medical Identifiers
Medical identifiers for Edward Kelly Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235711383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Edward Kelly Wright 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 |
|---|
Edward Kelly Wright,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Edward Kelly Wright,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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