Michelle Grace Medina, SUDCC is a
Day Training/habilitation Specialist based in Bakersfield, California. Michelle Grace Medina is licensed to practice in * (Not Available) (license number ) and her current practice location is
3715 Columbus St, Bakersfield, California. She can be reached at her office (for appointments etc.) via phone at
(661) 979-0923.
NPI number for Michelle Grace Medina is 1558255869 and her current mailing address is 3715 Columbus St, Bakersfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558255869.
Healthcare Provider's Profile
Full Name | Michelle Grace Medina |
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Gender | Female |
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Speciality | Day Training/habilitation Specialist |
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Location | 3715 Columbus St, Bakersfield, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558255869
- Provider Enumeration Date: 06/03/2025
- Last Update Date: 06/17/2025
Medical Identifiers
Medical identifiers for Michelle Grace Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558255869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16829 (California) | Secondary |
373H00000X | Day Training/habilitation Specialist | (* (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. Michelle Grace Medina 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 |
Michelle Grace Medina, SUDCC 3715 Columbus St, Bakersfield, CA 93306-2719 Ph: () - | Michelle Grace Medina, SUDCC 3715 Columbus St, Bakersfield, CA 93306-2719 Ph: (661) 979-0923 |
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