Victoria Gray Dickerson, is a
Community Health Worker based in Martinez, California. Victoria Gray Dickerson is licensed to practice in * (Not Available) (license number ) and her current practice location is
300 Ilene St, Martinez, California. She can be reached at her office (for appointments etc.) via phone at
(925) 655-0560.
NPI number for Victoria Gray Dickerson is 1326891334 and her current mailing address is 300 Ilene St, Martinez, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326891334.
Healthcare Provider's Profile
| Full Name | Victoria Gray Dickerson |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 300 Ilene St, Martinez, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326891334
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Victoria Gray Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326891334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Victoria Gray Dickerson 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 |
|---|
Victoria Gray Dickerson,
300 Ilene St,
Martinez, CA 94553-2631
Ph: (925) 655-0560 | Victoria Gray Dickerson,
300 Ilene St,
Martinez, CA 94553-2631
Ph: (925) 655-0560 |
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