Kristina Lynn Gillam, is a
Peer Specialist based in Joshua Tree, California. Kristina Lynn Gillam is licensed to practice in * (Not Available) (license number ) and her current practice location is
61607 29 Palms Hwy Ste D, Joshua Tree, California. She can be reached at her office (for appointments etc.) via phone at
(760) 366-8641.
NPI number for Kristina Lynn Gillam is 1194231118 and her current mailing address is 61607 29 Palms Hwy Ste D, Joshua Tree, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194231118.
Healthcare Provider's Profile
| Full Name | Kristina Lynn Gillam |
|---|
| Gender | Female |
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| Speciality | Peer Specialist |
|---|
| Location | 61607 29 Palms Hwy Ste D, Joshua Tree, 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: 1194231118
- Provider Enumeration Date: 12/28/2017
- Last Update Date: 09/30/2021
Medical Identifiers
Medical identifiers for Kristina Lynn Gillam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194231118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1265160917 (California) | 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. Kristina Lynn Gillam 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 |
|---|
Kristina Lynn Gillam,
61607 29 Palms Hwy Ste D,
Joshua Tree, CA 92252-2391
Ph: (760) 366-8641 | Kristina Lynn Gillam,
61607 29 Palms Hwy Ste D,
Joshua Tree, CA 92252-2391
Ph: (760) 366-8641 |
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