Marissa Jean Waite, is a
Student In An Organized Health Care Education/training Program based in Redding, California. Marissa Jean Waite is licensed to practice in * (Not Available) (license number ) and her current practice location is
3648 El Portal Dr, Redding, California. She can be reached at her office (for appointments etc.) via phone at
(530) 722-1114.
NPI number for Marissa Jean Waite is 1992316087 and her current mailing address is 4141 Jasper Way, Redding, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992316087.
Healthcare Provider's Profile
| Full Name | Marissa Jean Waite |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3648 El Portal Dr, Redding, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992316087
- Provider Enumeration Date: 08/12/2020
- Last Update Date: 10/21/2025
Medical Identifiers
Medical identifiers for Marissa Jean Waite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992316087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Marissa Jean Waite 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 |
|---|
Marissa Jean Waite,
4141 Jasper Way,
Redding, CA 96001-2951
Ph: (530) 691-3991 | Marissa Jean Waite,
3648 El Portal Dr,
Redding, CA 96002-3133
Ph: (530) 722-1114 |
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