Kimithy Roselles, is a
Peer Specialist based in Stockton, California. Kimithy Roselles is licensed to practice in * (Not Available) (license number ) and her current practice location is
4545 Georgetown Pl Ste D, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 269-5587.
NPI number for Kimithy Roselles is 1184386930 and her current mailing address is 4545 Georgetown Pl Ste D, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184386930.
Healthcare Provider's Profile
Full Name | Kimithy Roselles |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 4545 Georgetown Pl Ste D, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184386930
- Provider Enumeration Date: 10/08/2021
- Last Update Date: 12/26/2023
Medical Identifiers
Medical identifiers for Kimithy Roselles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184386930 | 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. Kimithy Roselles 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 |
Kimithy Roselles, 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 Ph: (209) 269-5587 | Kimithy Roselles, 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 Ph: (209) 269-5587 |
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