Gerreka Gilliam, is a
Marriage & Family Therapist based in Clover City, California. Gerreka Gilliam is licensed to practice in California (license number 136323) and her current practice location is
200 Corporate Point Walk Suite 325, Clover City, California. She can be reached at her office (for appointments etc.) via phone at
(323) 301-3449.
NPI number for Gerreka Gilliam is 1629594197 and her current mailing address is 7381 La Tijera Blvd Unit 452143, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629594197.
Healthcare Provider's Profile
| Full Name | Gerreka Gilliam |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 200 Corporate Point Walk Suite 325, Clover City, 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: 1629594197
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 02/02/2023
Medical Identifiers
Medical identifiers for Gerreka Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629594197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 106613 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 136323 (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. Gerreka Gilliam 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 |
|---|
Gerreka Gilliam,
7381 La Tijera Blvd Unit 452143,
Los Angeles, CA 90045-7099
Ph: (323) 301-3449 | Gerreka Gilliam,
200 Corporate Point Walk Suite 325,
Clover City, CA 90230
Ph: (323) 301-3449 |
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