Mr Ronald D Northcutt Sr, LAADC-CA is a
Case Manager/care Coordinator based in Riverside, California. Mr Ronald D Northcutt Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
2085 Rustin Ave, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 715-5040.
NPI number for Mr Ronald D Northcutt Sr is 1972800613 and his current mailing address is 2085 Rustin Ave, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972800613.
Healthcare Provider's Profile
| Full Name | Mr Ronald D Northcutt Sr |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2085 Rustin Ave, Riverside, 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: 1972800613
- Provider Enumeration Date: 02/15/2011
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Mr Ronald D Northcutt Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972800613 | NPI | - | NPPES |
| OTHER | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A3201108 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCI04020315 (California) | 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. Mr Ronald D Northcutt Sr 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 |
|---|
Mr Ronald D Northcutt Sr, LAADC-CA
2085 Rustin Ave,
Riverside, CA 92507-2498
Ph: (951) 715-5040 | Mr Ronald D Northcutt Sr, LAADC-CA
2085 Rustin Ave,
Riverside, CA 92507-2498
Ph: (951) 715-5040 |
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