Christopher Boyden-deshazer, is a medicare enrolled "Counselor" provider in San Francisco, California. His current practice location is
1380 Howard St Fl 4, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(415) 215-8239.
Christopher Boyden-deshazer is licensed to practice in California (license number 100040) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194177410.
Healthcare Provider's Profile
Full Name | Christopher Boyden-deshazer |
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Gender | Male |
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Speciality | Counselor |
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Location | 1380 Howard St Fl 4, San Francisco, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194177410
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759775752
- Enrollment ID: I20220308000174
Medical Identifiers
Medical identifiers for Christopher Boyden-deshazer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194177410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ASW65341 (California) | Secondary |
101Y00000X | Counselor | 100040 (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. Christopher Boyden-deshazer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christopher Boyden-deshazer, 521 W Montana St, Pasadena, CA 91103-1329 Ph: (626) 733-2160 | Christopher Boyden-deshazer, 1380 Howard St Fl 4, San Francisco, CA 94103-2651 Ph: (415) 215-8239 |
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