Mr Carl Frederick Jefferson, CAS is a
Community Health Worker based in Grass Valley, California. Mr Carl Frederick Jefferson is licensed to practice in * (Not Available) (license number ) and his current practice location is
500 Crown Point Cir, Grass Valley, California. He can be reached at his office (for appointments etc.) via phone at
(530) 470-2759.
NPI number for Mr Carl Frederick Jefferson is 1063546083 and his current mailing address is 13419 Mckitrick Ranch Rd, Nevada City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063546083.
Healthcare Provider's Profile
Full Name | Mr Carl Frederick Jefferson |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 500 Crown Point Cir, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063546083
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 12/28/2023
Medical Identifiers
Medical identifiers for Mr Carl Frederick Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063546083 | NPI | - | NPPES |
1824 | Other | CA | C.A.S. |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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 Carl Frederick Jefferson 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 Carl Frederick Jefferson, CAS 13419 Mckitrick Ranch Rd, Nevada City, CA 95959-9740 Ph: (530) 277-8809 | Mr Carl Frederick Jefferson, CAS 500 Crown Point Cir, Grass Valley, CA 95945-9561 Ph: (530) 470-2759 |
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