Jack Stockwell, is a
Student In An Organized Health Care Education/training Program based in Yuba City, California. Jack Stockwell is licensed to practice in * (Not Available) (license number ) and his current practice location is
1525 Plumas Ct Ste C&d, Yuba City, California. He can be reached at his office (for appointments etc.) via phone at
(530) 418-1002.
NPI number for Jack Stockwell is 1982330213 and his current mailing address is 1525 Plumas Ct Ste C&d, Yuba City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982330213.
Healthcare Provider's Profile
| Full Name | Jack Stockwell |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1525 Plumas Ct Ste C&d, Yuba City, 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: 1982330213
- Provider Enumeration Date: 07/28/2022
- Last Update Date: 10/05/2023
Medical Identifiers
Medical identifiers for Jack Stockwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982330213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (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. Jack Stockwell 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 |
|---|
Jack Stockwell,
1525 Plumas Ct Ste C&d,
Yuba City, CA 95991-2971
Ph: (530) 418-1002 | Jack Stockwell,
1525 Plumas Ct Ste C&d,
Yuba City, CA 95991-2971
Ph: (530) 418-1002 |
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