Jesse Edward Smith, PEER SUPPORT is a
Community Health Worker based in Ridgecrest, California. Jesse Edward Smith is licensed to practice in * (Not Available) (license number ) and his current practice location is
1141 Chelsea St, Ridgecrest, California. He can be reached at his office (for appointments etc.) via phone at
(760) 463-2880.
NPI number for Jesse Edward Smith is 1538849211 and his current mailing address is 1141 Chelsea St, Ridgecrest, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538849211.
Healthcare Provider's Profile
| Full Name | Jesse Edward Smith |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1141 Chelsea St, Ridgecrest, 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: 1538849211
- Provider Enumeration Date: 07/19/2023
- Last Update Date: 10/26/2023
Medical Identifiers
Medical identifiers for Jesse Edward Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538849211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Jesse Edward Smith 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 |
|---|
Jesse Edward Smith, PEER SUPPORT
1141 Chelsea St,
Ridgecrest, CA 93555-3208
Ph: (760) 463-2880 | Jesse Edward Smith, PEER SUPPORT
1141 Chelsea St,
Ridgecrest, CA 93555-3208
Ph: (760) 463-2880 |
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