Jennie Sumano, is a
Student In An Organized Health Care Education/training Program based in Stockton, California. Jennie Sumano is licensed to practice in * (Not Available) (license number ) and her current practice location is
620 N Aurora St Ste 1, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-3720.
NPI number for Jennie Sumano is 1972240794 and her current mailing address is 422 E Monterey Ave, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972240794.
Healthcare Provider's Profile
| Full Name | Jennie Sumano |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 620 N Aurora St Ste 1, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972240794
- Provider Enumeration Date: 05/13/2022
- Last Update Date: 03/21/2024
Medical Identifiers
Medical identifiers for Jennie Sumano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972240794 | NPI | - | NPPES |
| 13307 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13307 (California) | Secondary |
| 172V00000X | Community Health 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. Jennie Sumano 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 |
|---|
Jennie Sumano,
422 E Monterey Ave,
Stockton, CA 95204-3749
Ph: (209) 468-3720 | Jennie Sumano,
620 N Aurora St Ste 1,
Stockton, CA 95202-2276
Ph: (209) 468-3720 |
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