Michael B Connolly, CADC II is a
Community Health Worker based in Martinez, California. Michael B Connolly is licensed to practice in * (Not Available) (license number ) and his current practice location is
4645 Pacheco Blvd, Martinez, California. He can be reached at his office (for appointments etc.) via phone at
(925) 646-9270.
NPI number for Michael B Connolly is 1144737362 and his current mailing address is 259 Saint Germain Ln, Pleasant Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144737362.
Healthcare Provider's Profile
| Full Name | Michael B Connolly |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 4645 Pacheco Blvd, Martinez, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144737362
- Provider Enumeration Date: 01/09/2018
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Michael B Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144737362 | NPI | - | NPPES |
| AII31410819 | Other | CA | CCAPP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 179638 (California) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 179638 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Michael B Connolly 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 |
|---|
Michael B Connolly, CADC II
259 Saint Germain Ln,
Pleasant Hill, CA 94523-1117
Ph: (510) 253-3645 | Michael B Connolly, CADC II
4645 Pacheco Blvd,
Martinez, CA 94553-3625
Ph: (925) 646-9270 |
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