Jennifer Gastelum, is a
Student In An Organized Health Care Education/training Program based in Renton, Washington. Jennifer Gastelum is licensed to practice in * (Not Available) (license number ) and her current practice location is
723 Sw 10th St, Renton, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 461-4880.
NPI number for Jennifer Gastelum is 1558000570 and her current mailing address is 723 Sw 10th St, Renton, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558000570.
Healthcare Provider's Profile
| Full Name | Jennifer Gastelum |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 723 Sw 10th St, Renton, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558000570
- Provider Enumeration Date: 05/27/2022
- Last Update Date: 12/27/2022
Medical Identifiers
Medical identifiers for Jennifer Gastelum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558000570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (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. Jennifer Gastelum 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 |
|---|
Jennifer Gastelum,
723 Sw 10th St,
Renton, WA 98057-5223
Ph: () - | Jennifer Gastelum,
723 Sw 10th St,
Renton, WA 98057-5223
Ph: (206) 461-4880 |
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