Change Kwesele, is a
Student In An Organized Health Care Education/training Program based in East Lansing, Michigan. Change Kwesele is licensed to practice in * (Not Available) (license number ) and her current practice location is
411 W Lake Lansing Rd Ste C120, East Lansing, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 215-5217.
NPI number for Change Kwesele is 1053983536 and her current mailing address is 411 W Lake Lansing Rd Ste C120, East Lansing, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053983536.
Healthcare Provider's Profile
| Full Name | Change Kwesele |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 411 W Lake Lansing Rd Ste C120, East Lansing, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053983536
- Provider Enumeration Date: 07/14/2021
- Last Update Date: 07/14/2021
Medical Identifiers
Medical identifiers for Change Kwesele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053983536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6801106213 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Change Kwesele 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 |
|---|
Change Kwesele,
411 W Lake Lansing Rd Ste C120,
East Lansing, MI 48823-8483
Ph: (517) 215-5217 | Change Kwesele,
411 W Lake Lansing Rd Ste C120,
East Lansing, MI 48823-8483
Ph: (517) 215-5217 |
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