Misty Bettencourt, is a
Community Health Worker based in Livermore, California. Misty Bettencourt is licensed to practice in California (license number 11839) and her current practice location is
3131 Independence Dr, Livermore, California. She can be reached at her office (for appointments etc.) via phone at
(209) 410-4761.
NPI number for Misty Bettencourt is 1881279719 and her current mailing address is 1100 Kansas Ave Ste B, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881279719.
Healthcare Provider's Profile
Full Name | Misty Bettencourt |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 3131 Independence Dr, Livermore, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881279719
- Provider Enumeration Date: 03/11/2021
- Last Update Date: 02/14/2024
Medical Identifiers
Medical identifiers for Misty Bettencourt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881279719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | 11839 (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. Misty Bettencourt 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 |
Misty Bettencourt, 1100 Kansas Ave Ste B, Modesto, CA 95351-1596 Ph: (209) 579-1151 | Misty Bettencourt, 3131 Independence Dr, Livermore, CA 94551-7595 Ph: (209) 410-4761 |
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