Jonmichael Thomas Sampson, is a
Peer Specialist based in Pasadena, California. Jonmichael Thomas Sampson is licensed to practice in California (license number MPSS-NEWOFU) and his current practice location is
2500 E Foothill Blvd, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 254-5000.
NPI number for Jonmichael Thomas Sampson is 1063951192 and his current mailing address is 401 W Orangewood Ave Apt R205, Anaheim, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063951192.
Healthcare Provider's Profile
| Full Name | Jonmichael Thomas Sampson |
|---|
| Gender | Male |
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| Speciality | Peer Specialist |
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| Location | 2500 E Foothill Blvd, Pasadena, 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: 1063951192
- Provider Enumeration Date: 02/22/2017
- Last Update Date: 12/18/2023
Medical Identifiers
Medical identifiers for Jonmichael Thomas Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063951192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | MPSS-NEWOFU (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. Jonmichael Thomas Sampson 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 |
|---|
Jonmichael Thomas Sampson,
401 W Orangewood Ave Apt R205,
Anaheim, CA 92802-4758
Ph: (626) 802-7755 | Jonmichael Thomas Sampson,
2500 E Foothill Blvd,
Pasadena, CA 91107-3464
Ph: (626) 254-5000 |
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