Eileen Gossett, is a 
Case Manager/care Coordinator based in Azusa, California. Eileen Gossett is licensed to practice in * (Not Available) (license number ) and her current practice location is 
23701 E East Fork Rd, Azusa, California. She can be reached at her office (for appointments etc.) via phone at 
(626) 250-3300.
NPI number for Eileen Gossett is 1629459516 and her current mailing address is 23701 E East Fork Rd, Azusa, California. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629459516.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Eileen Gossett | 
|---|
| Gender | Female | 
|---|
| Speciality | Case Manager/care Coordinator | 
|---|
| Location | 23701 E East Fork Rd, Azusa, California | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1629459516
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 07/03/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Eileen Gossett such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1629459516 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary | 
| 171M00000X | Case Manager/care Coordinator | (* (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. Eileen Gossett 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 | 
|---|
		| Eileen Gossett, 23701 E East Fork Rd,
 Azusa, CA 91702-1477
 Ph: (626) 910-1202
 | Eileen Gossett, 23701 E East Fork Rd,
 Azusa, CA 91702-1477
 Ph: (626) 250-3300
 | 
		
		 
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