Kellishia T Worsham, is a
Case Manager/care Coordinator based in Upland, California. Kellishia T Worsham is licensed to practice in * (Not Available) (license number ) and her current practice location is
222 N Mountain Ave, Upland, California. She can be reached at her office (for appointments etc.) via phone at
(909) 727-0398.
NPI number for Kellishia T Worsham is 1275918146 and her current mailing address is 141 N Arrowhead Ave, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275918146.
Healthcare Provider's Profile
| Full Name | Kellishia T Worsham |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 222 N Mountain Ave, Upland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275918146
- Provider Enumeration Date: 07/21/2015
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Kellishia T Worsham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275918146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Kellishia T Worsham 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 |
|---|
Kellishia T Worsham,
141 N Arrowhead Ave,
San Bernardino, CA 92408-1016
Ph: (909) 963-5355 | Kellishia T Worsham,
222 N Mountain Ave,
Upland, CA 91786
Ph: (909) 727-0398 |
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