Ms Raven Luna-blackraven, is a
Case Manager/care Coordinator based in Kent, Ohio. Ms Raven Luna-blackraven is licensed to practice in * (Not Available) (license number ) and her current practice location is
1213 Anita Dr, Kent, Ohio. She can be reached at her office (for appointments etc.) via phone at
(417) 208-9021.
NPI number for Ms Raven Luna-blackraven is 1801551510 and her current mailing address is 1213 Anita Dr, Kent, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801551510.
Healthcare Provider's Profile
| Full Name | Ms Raven Luna-blackraven |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1213 Anita Dr, Kent, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801551510
- Provider Enumeration Date: 11/08/2021
- Last Update Date: 11/08/2021
Medical Identifiers
Medical identifiers for Ms Raven Luna-blackraven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801551510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (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. Ms Raven Luna-blackraven 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 |
|---|
Ms Raven Luna-blackraven,
1213 Anita Dr,
Kent, OH 44240-1701
Ph: (417) 208-9021 | Ms Raven Luna-blackraven,
1213 Anita Dr,
Kent, OH 44240-1701
Ph: (417) 208-9021 |
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