Mrs Sandi Rose Ellerbe, SUDCC 8646 is a
Rehabilitation Practitioner based in Fairfield, California. Mrs Sandi Rose Ellerbe is licensed to practice in * (Not Available) (license number ) and her current practice location is
2101 Courage Dr, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 639-4675.
NPI number for Mrs Sandi Rose Ellerbe is 1528590262 and her current mailing address is 2101 Courage Dr, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528590262.
Healthcare Provider's Profile
| Full Name | Mrs Sandi Rose Ellerbe |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2101 Courage Dr, Fairfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528590262
- Provider Enumeration Date: 03/31/2017
- Last Update Date: 08/30/2023
Medical Identifiers
Medical identifiers for Mrs Sandi Rose Ellerbe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528590262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8646 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (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. Mrs Sandi Rose Ellerbe 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 |
|---|
Mrs Sandi Rose Ellerbe, SUDCC 8646
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 639-4675 | Mrs Sandi Rose Ellerbe, SUDCC 8646
2101 Courage Dr,
Fairfield, CA 94533-6717
Ph: (707) 639-4675 |
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