Tina Favre, is a
Case Manager/care Coordinator based in Victorville, California. Tina Favre is licensed to practice in California (license number ) and her current practice location is
12188 Hesperia Rd, Victorville, California. She can be reached at her office (for appointments etc.) via phone at
(760) 477-2199.
NPI number for Tina Favre is 1467657650 and her current mailing address is 13058 Yakima Rd Apt C, Apple Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467657650.
Healthcare Provider's Profile
| Full Name | Tina Favre |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 12188 Hesperia Rd, Victorville, 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: 1467657650
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Tina Favre such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467657650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (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. Tina Favre 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 |
|---|
Tina Favre,
13058 Yakima Rd Apt C,
Apple Valley, CA 92308-4397
Ph: (760) 261-8048 | Tina Favre,
12188 Hesperia Rd,
Victorville, CA 92395-5822
Ph: (760) 477-2199 |
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