Star Cannon, CADC II, ICADC, MATS is a
Community Health Worker based in Carmichael, California. Star Cannon is licensed to practice in * (Not Available) (license number ) and her current practice location is
3637 Mission Ave Bldg B, Carmichael, California. She can be reached at her office (for appointments etc.) via phone at
(916) 485-4175.
NPI number for Star Cannon is 1265508311 and her current mailing address is 1851 Heritage Ln Ste 187, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265508311.
Healthcare Provider's Profile
| Full Name | Star Cannon |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3637 Mission Ave Bldg B, Carmichael, 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: 1265508311
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 11/23/2022
Medical Identifiers
Medical identifiers for Star Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265508311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
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. Star Cannon 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 |
|---|
Star Cannon, CADC II, ICADC, MATS
1851 Heritage Ln Ste 187,
Sacramento, CA 95815-4922
Ph: (916) 333-3800 | Star Cannon, CADC II, ICADC, MATS
3637 Mission Ave Bldg B,
Carmichael, CA 95608-2946
Ph: (916) 485-4175 |
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