Ms Gail Dolores Jerideau-pratt, RN is a
Registered Nurse - Psychiatric/mental Health, Adult based in Canyon Lake, California. Ms Gail Dolores Jerideau-pratt is licensed to practice in California (license number 459851) and her current practice location is
30251 Channel Way Dr, Canyon Lake, California. She can be reached at her office (for appointments etc.) via phone at
(951) 246-2640.
NPI number for Ms Gail Dolores Jerideau-pratt is 1154517092 and her current mailing address is 30251 Channel Way Dr, Canyon Lake, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154517092.
Provider's Profile
Full Name | Ms Gail Dolores Jerideau-pratt |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
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Location | 30251 Channel Way Dr, Canyon Lake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154517092
- Provider Enumeration Date: 09/24/2007
- Last Update Date: 09/24/2007
Medical Identifiers
Medical identifiers for Ms Gail Dolores Jerideau-pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154517092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 459851 (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. Ms Gail Dolores Jerideau-pratt 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 |
Ms Gail Dolores Jerideau-pratt, RN 30251 Channel Way Dr, Canyon Lake, CA 92587-7986 Ph: (951) 246-2640 | Ms Gail Dolores Jerideau-pratt, RN 30251 Channel Way Dr, Canyon Lake, CA 92587-7986 Ph: (951) 246-2640 |
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