Mr Charles Dwayne Estes, is a
Rehabilitation Practitioner based in Santa Cruz, California. Mr Charles Dwayne Estes is licensed to practice in * (Not Available) (license number ) and his current practice location is
1400 Emeline Ave, Santa Cruz, California. He can be reached at his office (for appointments etc.) via phone at
(831) 454-4170.
NPI number for Mr Charles Dwayne Estes is 1457557084 and his current mailing address is 1400 Emeline Ave, Santa Cruz, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457557084.
Healthcare Provider's Profile
Full Name | Mr Charles Dwayne Estes |
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Gender | Male |
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Speciality | Rehabilitation Practitioner |
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Location | 1400 Emeline Ave, Santa Cruz, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457557084
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 04/29/2025
Medical Identifiers
Medical identifiers for Mr Charles Dwayne Estes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457557084 | NPI | - | NPPES |
ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (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. Mr Charles Dwayne Estes 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 Charles Dwayne Estes, 1400 Emeline Ave, Santa Cruz, CA 95060-1976 Ph: (831) 454-4170 | Mr Charles Dwayne Estes, 1400 Emeline Ave, Santa Cruz, CA 95060-1976 Ph: (831) 454-4170 |
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