Jacob Bernie, is a
Case Manager/care Coordinator based in Ukiah, California. Jacob Bernie is licensed to practice in * (Not Available) (license number ) and his current practice location is
350 E Gobbi St, Ukiah, California. He can be reached at his office (for appointments etc.) via phone at
(707) 472-2922.
NPI number for Jacob Bernie is 1215322565 and his current mailing address is Po Box 2077, Ukiah, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215322565.
Healthcare Provider's Profile
| Full Name | Jacob Bernie |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 350 E Gobbi St, Ukiah, 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: 1215322565
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 09/30/2015
Medical Identifiers
Medical identifiers for Jacob Bernie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215322565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A02460315 (California) | 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. Jacob Bernie 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 |
|---|
Jacob Bernie,
Po Box 2077,
Ukiah, CA 95482-2077
Ph: (707) 472-2922 | Jacob Bernie,
350 E Gobbi St,
Ukiah, CA 95482-5511
Ph: (707) 472-2922 |
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