Mr Justin Donnelly, MS is a
Peer Specialist based in Lebanon, Tennessee. Mr Justin Donnelly is licensed to practice in Tennessee (license number 000-1205) and his current practice location is
135 Quita Cir Apt B, Lebanon, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 955-1729.
NPI number for Mr Justin Donnelly is 1861853657 and his current mailing address is 135 Quita Cir Apt B, Lebanon, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861853657.
Healthcare Provider's Profile
| Full Name | Mr Justin Donnelly |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 135 Quita Cir Apt B, Lebanon, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861853657
- Provider Enumeration Date: 03/08/2016
- Last Update Date: 08/06/2020
Medical Identifiers
Medical identifiers for Mr Justin Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861853657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Tennessee) | Secondary |
| 175T00000X | Peer Specialist | 000-1205 (Tennessee) | 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 Justin Donnelly 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 Justin Donnelly, MS
135 Quita Cir Apt B,
Lebanon, TN 37087-4440
Ph: (615) 955-1729 | Mr Justin Donnelly, MS
135 Quita Cir Apt B,
Lebanon, TN 37087-4440
Ph: (615) 955-1729 |
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