Mary Guadalupe Escudero, is a
Community Health Worker based in Escondido, California. Mary Guadalupe Escudero is licensed to practice in * (Not Available) (license number ) and her current practice location is
474 W Vermont Ave, Suite 104, Escondido, California. She can be reached at her office (for appointments etc.) via phone at
(760) 432-9884.
NPI number for Mary Guadalupe Escudero is 1053742494 and her current mailing address is 995 Gateway Center Way, Suite 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053742494.
Healthcare Provider's Profile
| Full Name | Mary Guadalupe Escudero |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 474 W Vermont Ave, Escondido, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053742494
- Provider Enumeration Date: 12/11/2013
- Last Update Date: 09/28/2023
Medical Identifiers
Medical identifiers for Mary Guadalupe Escudero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053742494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Mary Guadalupe Escudero 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 |
|---|
Mary Guadalupe Escudero,
995 Gateway Center Way, Suite 300,
San Diego, CA 92102
Ph: (760) 432-9884 | Mary Guadalupe Escudero,
474 W Vermont Ave, Suite 104,
Escondido, CA 92025-6584
Ph: (760) 432-9884 |
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