Jacques Kyanza Kyagilo Sr, - Counselor in Shaker Heights, OH

Jacques Kyanza Kyagilo Sr, is a Counselor - Pastoral based in Shaker Heights, Ohio. Jacques Kyanza Kyagilo Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is 19220 Van Aken Blvd Apt 303, Shaker Heights, Ohio. He can be reached at his office (for appointments etc.) via phone at (832) 258-7367.

NPI number for Jacques Kyanza Kyagilo Sr is 1659002939 and his current mailing address is 19220 Van Aken Blvd Apt 303, Shaker Heights, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659002939.

Contact Information

Jacques Kyanza Kyagilo Sr,
19220 Van Aken Blvd Apt 303,
Shaker Heights, OH 44122-3557
(832) 258-7367
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJacques Kyanza Kyagilo Sr
GenderMale
SpecialityCounselor - Pastoral
Location19220 Van Aken Blvd Apt 303, Shaker Heights, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659002939
  • Provider Enumeration Date: 06/18/2022
  • Last Update Date: 06/18/2022

Medical Identifiers

Medical identifiers for Jacques Kyanza Kyagilo Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659002939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP1600XCounselor - Pastoral (* (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. Jacques Kyanza Kyagilo Sr 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 AddressPractice Location Address
Jacques Kyanza Kyagilo Sr,
19220 Van Aken Blvd Apt 303,
Shaker Heights, OH 44122-3557

Ph: (832) 258-7367
Jacques Kyanza Kyagilo Sr,
19220 Van Aken Blvd Apt 303,
Shaker Heights, OH 44122-3557

Ph: (832) 258-7367

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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