Jockuela Ballard, is a
Peer Specialist based in Fairfield, California. Jockuela Ballard is licensed to practice in California (license number ) and her current practice location is
2420 Martin Rd Ste 200, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 399-4520.
NPI number for Jockuela Ballard is 1245638121 and her current mailing address is 2420 Martin Rd Ste 200, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245638121.
Healthcare Provider's Profile
| Full Name | Jockuela Ballard |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2420 Martin Rd Ste 200, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245638121
- Provider Enumeration Date: 12/09/2014
- Last Update Date: 07/05/2023
Medical Identifiers
Medical identifiers for Jockuela Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245638121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (California) | 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. Jockuela Ballard 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 |
|---|
Jockuela Ballard,
2420 Martin Rd Ste 200,
Fairfield, CA 94534-8610
Ph: (916) 388-6400 | Jockuela Ballard,
2420 Martin Rd Ste 200,
Fairfield, CA 94534-8610
Ph: (707) 399-4520 |
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