Savannah Dimpna Short, INTERN MASTER'S LEVE is a
Student In An Organized Health Care Education/training Program based in Rio Vista, California. Savannah Dimpna Short is licensed to practice in * (Not Available) (license number ) and her current practice location is
628 Montezuma St, Rio Vista, California. She can be reached at her office (for appointments etc.) via phone at
(707) 374-5243.
NPI number for Savannah Dimpna Short is 1922851047 and her current mailing address is 1214 Aspen Pl, Davis, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922851047.
Healthcare Provider's Profile
Full Name | Savannah Dimpna Short |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 628 Montezuma St, Rio Vista, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922851047
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 09/11/2024
Medical Identifiers
Medical identifiers for Savannah Dimpna Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922851047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Savannah Dimpna Short 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 |
Savannah Dimpna Short, INTERN MASTER'S LEVE 1214 Aspen Pl, Davis, CA 95616-2036 Ph: (916) 591-4668 | Savannah Dimpna Short, INTERN MASTER'S LEVE 628 Montezuma St, Rio Vista, CA 94571-1622 Ph: (707) 374-5243 |
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