Mr Jim Shere, MFT is a
Marriage & Family Therapist based in Glen Ellen, California. Mr Jim Shere is licensed to practice in California (license number MFC8847) and his current practice location is
14301 Arnold Dr, Glen Ellen, California. He can be reached at his office (for appointments etc.) via phone at
(707) 935-3663.
NPI number for Mr Jim Shere is 1831302496 and his current mailing address is Po Box 2108, Glen Ellen, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831302496.
Healthcare Provider's Profile
| Full Name | Mr Jim Shere |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 14301 Arnold Dr, Glen Ellen, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831302496
- Provider Enumeration Date: 05/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jim Shere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831302496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MFC8847 (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. Mr Jim Shere 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 |
|---|
Mr Jim Shere, MFT
Po Box 2108,
Glen Ellen, CA 95442-2108
Ph: (707) 935-3663 | Mr Jim Shere, MFT
14301 Arnold Dr,
Glen Ellen, CA 95442-9400
Ph: (707) 935-3663 |
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