Grace Elizabeth Smith, STUDENT is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Grace Elizabeth Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
1963 4th Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 233-3432.
NPI number for Grace Elizabeth Smith is 1154882249 and her current mailing address is 1963 4th Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154882249.
Healthcare Provider's Profile
| Full Name | Grace Elizabeth Smith |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1963 4th Ave, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154882249
- Provider Enumeration Date: 03/29/2019
- Last Update Date: 03/29/2019
Medical Identifiers
Medical identifiers for Grace Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154882249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Grace Elizabeth Smith 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 |
|---|
Grace Elizabeth Smith, STUDENT
1963 4th Ave,
San Diego, CA 92101-2394
Ph: (619) 233-3432 | Grace Elizabeth Smith, STUDENT
1963 4th Ave,
San Diego, CA 92101-2394
Ph: (619) 233-3432 |
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