Mr Mark Randall Fries Iii, is a
Case Manager/care Coordinator based in Morgan Hill, California. Mr Mark Randall Fries Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
16265 Church St, Morgan Hill, California. He can be reached at his office (for appointments etc.) via phone at
(408) 776-6200.
NPI number for Mr Mark Randall Fries Iii is 1689836587 and his current mailing address is 16265 Church St, Morgan Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689836587.
Healthcare Provider's Profile
| Full Name | Mr Mark Randall Fries Iii |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 16265 Church St, Morgan Hill, 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: 1689836587
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Mr Mark Randall Fries Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689836587 | 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 Mark Randall Fries Iii 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 Mark Randall Fries Iii,
16265 Church St,
Morgan Hill, CA 95037-5412
Ph: () - | Mr Mark Randall Fries Iii,
16265 Church St,
Morgan Hill, CA 95037-5412
Ph: (408) 776-6200 |
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