Ms Jessie Churchill, RN is a
Internal Medicine - Endocrinology, Diabetes & Metabolism based in Novato, California. Ms Jessie Churchill is licensed to practice in California (license number RN95224300) and her current practice location is
201 Alameda Del Prado Ste 201, Novato, California. She can be reached at her office (for appointments etc.) via phone at
(415) 444-6063.
NPI number for Ms Jessie Churchill is 1861141657 and her current mailing address is 201 Alameda Del Prado Ste 201, Novato, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861141657.
Provider's Profile
Full Name | Ms Jessie Churchill |
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Gender | Female |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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Location | 201 Alameda Del Prado Ste 201, Novato, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861141657
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 06/17/2022
Medical Identifiers
Medical identifiers for Ms Jessie Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861141657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN95224300 (California) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | RN95224300 (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 Jessie Churchill 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 Jessie Churchill, RN 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 Ph: () - | Ms Jessie Churchill, RN 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 Ph: (415) 444-6063 |
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