Lilly Ann Gronendyke, is a
Student In An Organized Health Care Education/training Program based in El Sobrante, California. Lilly Ann Gronendyke is licensed to practice in * (Not Available) (license number ) and her current practice location is
4892 San Pablo Dam Rd, El Sobrante, California. She can be reached at her office (for appointments etc.) via phone at
(510) 223-4236.
NPI number for Lilly Ann Gronendyke is 1295331767 and her current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295331767.
Healthcare Provider's Profile
| Full Name | Lilly Ann Gronendyke |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4892 San Pablo Dam Rd, El Sobrante, 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: 1295331767
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Lilly Ann Gronendyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295331767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Lilly Ann Gronendyke 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 |
|---|
Lilly Ann Gronendyke,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: (510) 223-4236 | Lilly Ann Gronendyke,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: (510) 223-4236 |
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