Mr Jerry Lee Couch Jr, is a
Case Manager/care Coordinator based in Compton, California. Mr Jerry Lee Couch Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
1303 W Walnut Pkwy, Compton, California. He can be reached at his office (for appointments etc.) via phone at
(310) 868-4379.
NPI number for Mr Jerry Lee Couch Jr is 1316182769 and his current mailing address is 4832 11th Ave, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316182769.
Healthcare Provider's Profile
| Full Name | Mr Jerry Lee Couch Jr |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1303 W Walnut Pkwy, Compton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316182769
- Provider Enumeration Date: 12/12/2008
- Last Update Date: 05/17/2013
Medical Identifiers
Medical identifiers for Mr Jerry Lee Couch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316182769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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 Jerry Lee Couch Jr 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 Jerry Lee Couch Jr,
4832 11th Ave,
Los Angeles, CA 90043-4845
Ph: () - | Mr Jerry Lee Couch Jr,
1303 W Walnut Pkwy,
Compton, CA 90220-5030
Ph: (310) 868-4379 |
Reviews and Comments