Mr Andre Michael Huddleston Sr, is a
Community Health Worker based in Rancho Cordova, California. Mr Andre Michael Huddleston Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
11879 Fire Agate Way, Rancho Cordova, California. He can be reached at his office (for appointments etc.) via phone at
(916) 549-0821.
NPI number for Mr Andre Michael Huddleston Sr is 1881041002 and his current mailing address is 11879 Fire Agate Way, Rancho Cordova, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881041002.
Healthcare Provider's Profile
| Full Name | Mr Andre Michael Huddleston Sr |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 11879 Fire Agate Way, Rancho Cordova, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881041002
- Provider Enumeration Date: 05/17/2016
- Last Update Date: 08/13/2024
Medical Identifiers
Medical identifiers for Mr Andre Michael Huddleston Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881041002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 171M00000X (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mr Andre Michael Huddleston Sr 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 |
|---|
Mr Andre Michael Huddleston Sr,
11879 Fire Agate Way,
Rancho Cordova, CA 95742-8068
Ph: (916) 549-0821 | Mr Andre Michael Huddleston Sr,
11879 Fire Agate Way,
Rancho Cordova, CA 95742-8068
Ph: (916) 549-0821 |
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