Rodney Wayne Lomack Jr, is a
Peer Specialist based in Pasadena, California. Rodney Wayne Lomack Jr is licensed to practice in California (license number MPSS-VJZKPS) and his current practice location is
1230 N Marengo Ave, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 797-1124.
NPI number for Rodney Wayne Lomack Jr is 1578343315 and his current mailing address is 1230 N Marengo Ave, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578343315.
Healthcare Provider's Profile
| Full Name | Rodney Wayne Lomack Jr |
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| Gender | Male |
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| Speciality | Peer Specialist |
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| Location | 1230 N Marengo Ave, Pasadena, 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: 1578343315
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Rodney Wayne Lomack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578343315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | MPSS-VJZKPS (California) | 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 Wayne Lomack Jr 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 Wayne Lomack Jr,
1230 N Marengo Ave,
Pasadena, CA 91103-2217
Ph: (626) 797-1124 | Rodney Wayne Lomack Jr,
1230 N Marengo Ave,
Pasadena, CA 91103-2217
Ph: (626) 797-1124 |
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