Jimmiela Bruessard, is a
Student In An Organized Health Care Education/training Program based in Elk Grove, California. Jimmiela Bruessard is licensed to practice in * (Not Available) (license number ) and her current practice location is
9412 Big Horn Blvd Ste 6, Elk Grove, California. She can be reached at her office (for appointments etc.) via phone at
(916) 533-6335.
NPI number for Jimmiela Bruessard is 1801413596 and her current mailing address is 1704 Miramonte Ave Ste 3, Mountain View, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801413596.
Healthcare Provider's Profile
| Full Name | Jimmiela Bruessard |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9412 Big Horn Blvd Ste 6, Elk Grove, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801413596
- Provider Enumeration Date: 06/29/2020
- Last Update Date: 08/02/2022
Medical Identifiers
Medical identifiers for Jimmiela Bruessard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801413596 | NPI | - | NPPES |
| 1801413596 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (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. Jimmiela Bruessard 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 |
|---|
Jimmiela Bruessard,
1704 Miramonte Ave Ste 3,
Mountain View, CA 94040-3718
Ph: () - | Jimmiela Bruessard,
9412 Big Horn Blvd Ste 6,
Elk Grove, CA 95758-1101
Ph: (916) 533-6335 |
Reviews and Comments