Mayra Gallardo, BA is a
Case Manager/care Coordinator based in Fresno, California. Mayra Gallardo is licensed to practice in California (license number ) and her current practice location is
2550 W. Clinton Avenue, Building A, # 116, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 264-7521.
NPI number for Mayra Gallardo is 1578128120 and her current mailing address is 2550 W. Clinton Avenue, Building A, # 116, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578128120.
Healthcare Provider's Profile
| Full Name | Mayra Gallardo |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2550 W. Clinton Avenue, Building A, # 116, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578128120
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 10/17/2022
Medical Identifiers
Medical identifiers for Mayra Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578128120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9495 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | 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. Mayra Gallardo 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 |
|---|
Mayra Gallardo, BA
2550 W. Clinton Avenue, Building A, # 116,
Fresno, CA 93705
Ph: (559) 264-7521 | Mayra Gallardo, BA
2550 W. Clinton Avenue, Building A, # 116,
Fresno, CA 93705
Ph: (559) 264-7521 |
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