Jennyfer Melissa Medina, is a
Peer Specialist based in San Diego, California. Jennyfer Melissa Medina is licensed to practice in * (Not Available) (license number ) and her current practice location is
995 Gateway Center Way Ste 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 398-2156.
NPI number for Jennyfer Melissa Medina is 1255982112 and her current mailing address is 995 Gateway Center Way Ste 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255982112.
Healthcare Provider's Profile
| Full Name | Jennyfer Melissa Medina |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 995 Gateway Center Way Ste 300, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255982112
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 09/23/2019
Medical Identifiers
Medical identifiers for Jennyfer Melissa Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255982112 | 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)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Jennyfer Melissa Medina 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 |
|---|
Jennyfer Melissa Medina,
995 Gateway Center Way Ste 300,
San Diego, CA 92102-4550
Ph: (619) 398-2156 | Jennyfer Melissa Medina,
995 Gateway Center Way Ste 300,
San Diego, CA 92102-4550
Ph: (619) 398-2156 |
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