Mariah Jacqueline Funk, is a
Community Health Worker based in Grass Valley, California. Mariah Jacqueline Funk is licensed to practice in * (Not Available) (license number ) and her current practice location is
900 E Main St Ste 201, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(530) 273-2244.
NPI number for Mariah Jacqueline Funk is 1073271250 and her current mailing address is 900 E Main St Ste 201, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073271250.
Healthcare Provider's Profile
Full Name | Mariah Jacqueline Funk |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 900 E Main St Ste 201, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073271250
- Provider Enumeration Date: 12/03/2021
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Mariah Jacqueline Funk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073271250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (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. Mariah Jacqueline Funk 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 |
Mariah Jacqueline Funk, 900 E Main St Ste 201, Grass Valley, CA 95945-5853 Ph: (530) 273-2244 | Mariah Jacqueline Funk, 900 E Main St Ste 201, Grass Valley, CA 95945-5853 Ph: (530) 273-2244 |
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