Katie Jean Wood, is a
Peer Specialist based in San Diego, California. Katie Jean Wood is licensed to practice in * (Not Available) (license number ) and her current practice location is
928 Broadway, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 977-3716.
NPI number for Katie Jean Wood is 1447766043 and her current mailing address is 928 Broadway, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447766043.
Healthcare Provider's Profile
| Full Name | Katie Jean Wood |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 928 Broadway, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447766043
- Provider Enumeration Date: 12/18/2017
- Last Update Date: 12/28/2017
Medical Identifiers
Medical identifiers for Katie Jean Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447766043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Katie Jean Wood 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 |
|---|
Katie Jean Wood,
928 Broadway,
San Diego, CA 92101-5514
Ph: () - | Katie Jean Wood,
928 Broadway,
San Diego, CA 92101-5514
Ph: (619) 977-3716 |
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