Mr Jonathan Eric Antczak, CADC III is a
Case Manager/care Coordinator based in Riverside, California. Mr Jonathan Eric Antczak is licensed to practice in California (license number ) and his current practice location is
2085 Rustin Ave, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 287-8777.
NPI number for Mr Jonathan Eric Antczak is 1962234617 and his current mailing address is 360 S 23rd St, Banning, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962234617.
Healthcare Provider's Profile
| Full Name | Mr Jonathan Eric Antczak |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2085 Rustin Ave, Riverside, 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: 1962234617
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Mr Jonathan Eric Antczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962234617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (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. Mr Jonathan Eric Antczak 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 Jonathan Eric Antczak, CADC III
360 S 23rd St,
Banning, CA 92220-3702
Ph: (951) 287-8777 | Mr Jonathan Eric Antczak, CADC III
2085 Rustin Ave,
Riverside, CA 92507-2498
Ph: (951) 287-8777 |
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