Shyamolika Dube, is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. Her current practice location is
720 Wood St., Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 268-3370.
Shyamolika Dube is licensed to practice in California (license number LCSW95525) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083090914.
Healthcare Provider's Profile
Full Name | Shyamolika Dube |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 720 Wood St., Eureka, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083090914
- Provider Enumeration Date: 08/03/2015
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820449820
- Enrollment ID: I20240103003868
Medical Identifiers
Medical identifiers for Shyamolika Dube such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083090914 | NPI | - | NPPES |
101Y00000X | Medicaid | CA | |
1041C0700X | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW95525 (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. Shyamolika Dube is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shyamolika Dube, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-3370 | Shyamolika Dube, 720 Wood St., Eureka, CA 95501 Ph: (707) 268-3370 |
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