Jon Todd Entwistle, is a
Case Manager/care Coordinator based in Santa Cruz, California. Jon Todd Entwistle is licensed to practice in California (license number ) and his current practice location is
125 Rigg St, Santa Cruz, California. He can be reached at his office (for appointments etc.) via phone at
(831) 423-3890.
NPI number for Jon Todd Entwistle is 1316430606 and his current mailing address is 380 Encinal St Ste 200, Santa Cruz, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316430606.
Healthcare Provider's Profile
| Full Name | Jon Todd Entwistle |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 125 Rigg St, Santa Cruz, 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: 1316430606
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 05/25/2023
Medical Identifiers
Medical identifiers for Jon Todd Entwistle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316430606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (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. Jon Todd Entwistle 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 |
|---|
Jon Todd Entwistle,
380 Encinal St Ste 200,
Santa Cruz, CA 95060-2178
Ph: (831) 469-1700 | Jon Todd Entwistle,
125 Rigg St,
Santa Cruz, CA 95060-4203
Ph: (831) 423-3890 |
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