Rodney Dale Clark, is a
Case Manager/care Coordinator based in Gilroy, California. Rodney Dale Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
9015 Murray Ave, Suite 100, Gilroy, California. He can be reached at his office (for appointments etc.) via phone at
(408) 665-4908.
NPI number for Rodney Dale Clark is 1487102851 and his current mailing address is 9015 Murray Ave, Suite 100, Gilroy, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487102851.
Healthcare Provider's Profile
| Full Name | Rodney Dale Clark |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 9015 Murray Ave, Gilroy, 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: 1487102851
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 09/14/2016
Medical Identifiers
Medical identifiers for Rodney Dale Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487102851 | 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. Rodney Dale Clark 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 |
|---|
Rodney Dale Clark,
9015 Murray Ave, Suite 100,
Gilroy, CA 95020-3617
Ph: (408) 665-4908 | Rodney Dale Clark,
9015 Murray Ave, Suite 100,
Gilroy, CA 95020-3617
Ph: (408) 665-4908 |
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