Shanell Gridiron, is a
Case Manager/care Coordinator based in Bakersfield, California. Shanell Gridiron is licensed to practice in * (Not Available) (license number ) and her current practice location is
2525 N Chester Ave Ste C, Bakersfield, California. She can be reached at her office (for appointments etc.) via phone at
(661) 868-7499.
NPI number for Shanell Gridiron is 1487126918 and her current mailing address is 2525 N Chester Ave Ste C, Bakersfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487126918.
Healthcare Provider's Profile
| Full Name | Shanell Gridiron |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2525 N Chester Ave Ste C, Bakersfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487126918
- Provider Enumeration Date: 12/21/2018
- Last Update Date: 10/23/2020
Medical Identifiers
Medical identifiers for Shanell Gridiron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487126918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (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. Shanell Gridiron 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 |
|---|
Shanell Gridiron,
2525 N Chester Ave Ste C,
Bakersfield, CA 93308-1770
Ph: (661) 868-7499 | Shanell Gridiron,
2525 N Chester Ave Ste C,
Bakersfield, CA 93308-1770
Ph: (661) 868-7499 |
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