Jacob C Tanner, is a
Case Manager/care Coordinator based in Moreno Valley, California. Jacob C Tanner is licensed to practice in * (Not Available) (license number ) and his current practice location is
13800 Heacock St Ste C236, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at
(951) 656-2614.
NPI number for Jacob C Tanner is 1467772806 and his current mailing address is 243 N Meridian Ave Spc 71, San Bernardino, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467772806.
Healthcare Provider's Profile
| Full Name | Jacob C Tanner |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 13800 Heacock St Ste C236, Moreno Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467772806
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 03/24/2011
Medical Identifiers
Medical identifiers for Jacob C Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467772806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (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. Jacob C Tanner 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 |
|---|
Jacob C Tanner,
243 N Meridian Ave Spc 71,
San Bernardino, CA 92410-1317
Ph: (909) 913-3403 | Jacob C Tanner,
13800 Heacock St Ste C236,
Moreno Valley, CA 92553-3364
Ph: (951) 656-2614 |
Reviews and Comments