Joanna Marie Illing, is a
Community Health Worker based in El Cerrito, California. Joanna Marie Illing is licensed to practice in * (Not Available) (license number ) and her current practice location is
11175 San Pablo Ave, El Cerrito, California. She can be reached at her office (for appointments etc.) via phone at
(510) 559-5550.
NPI number for Joanna Marie Illing is 1023853082 and her current mailing address is 11175 San Pablo Ave, El Cerrito, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023853082.
Healthcare Provider's Profile
Full Name | Joanna Marie Illing |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 11175 San Pablo Ave, El Cerrito, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023853082
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Joanna Marie Illing such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023853082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (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. Joanna Marie Illing 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 |
Joanna Marie Illing, 11175 San Pablo Ave, El Cerrito, CA 94530-2157 Ph: (510) 559-5550 | Joanna Marie Illing, 11175 San Pablo Ave, El Cerrito, CA 94530-2157 Ph: (510) 559-5550 |
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