Shannan Carpenter, is a
Case Manager/care Coordinator based in Berkeley, California. Shannan Carpenter is licensed to practice in * (Not Available) (license number ) and her current practice location is
3404 King St, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at
(510) 601-8966.
NPI number for Shannan Carpenter is 1942752860 and her current mailing address is 3404 King St, Berkeley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942752860.
Healthcare Provider's Profile
| Full Name | Shannan Carpenter |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3404 King St, Berkeley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942752860
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 10/26/2016
Medical Identifiers
Medical identifiers for Shannan Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942752860 | 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. Shannan Carpenter 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 |
|---|
Shannan Carpenter,
3404 King St,
Berkeley, CA 94703-2626
Ph: (510) 601-8966 | Shannan Carpenter,
3404 King St,
Berkeley, CA 94703-2626
Ph: (510) 601-8966 |
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