Ms Shelly Denise Booker, is a
Student In An Organized Health Care Education/training Program based in Modesto, California. Ms Shelly Denise Booker is licensed to practice in * (Not Available) (license number ) and her current practice location is
1235 Mchenry Ave Ste A&b, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 527-4597.
NPI number for Ms Shelly Denise Booker is 1972677839 and her current mailing address is 1234 Mchenry Ave Ste A&b, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972677839.
Healthcare Provider's Profile
| Full Name | Ms Shelly Denise Booker |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1235 Mchenry Ave Ste A&b, Modesto, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972677839
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for Ms Shelly Denise Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972677839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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 Shelly Denise Booker 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 Shelly Denise Booker,
1234 Mchenry Ave Ste A&b,
Modesto, CA 95350-5373
Ph: (209) 527-4597 | Ms Shelly Denise Booker,
1235 Mchenry Ave Ste A&b,
Modesto, CA 95350-5370
Ph: (209) 527-4597 |
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