Jevari Anderson, is a
Community Health Worker based in Concord, California. Jevari Anderson is licensed to practice in * (Not Available) (license number ) and his current practice location is
1200 Concord Ave Ste 450, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(925) 933-2627.
NPI number for Jevari Anderson is 1417670944 and his current mailing address is 3800 Coolidge Ave, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417670944.
Healthcare Provider's Profile
| Full Name | Jevari Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1200 Concord Ave Ste 450, Concord, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417670944
- Provider Enumeration Date: 09/20/2022
- Last Update Date: 05/14/2023
Medical Identifiers
Medical identifiers for Jevari Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417670944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Jevari Anderson 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 |
|---|
Jevari Anderson,
3800 Coolidge Ave,
Oakland, CA 94602-3399
Ph: (510) 482-2244 | Jevari Anderson,
1200 Concord Ave Ste 450,
Concord, CA 94520-4959
Ph: (925) 933-2627 |
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