Miguel Ibarra, is a
Student In An Organized Health Care Education/training Program based in Sebastopol, California. Miguel Ibarra is licensed to practice in NU (license number ) and his current practice location is
438 Eddie Ln, Sebastopol, California. He can be reached at his office (for appointments etc.) via phone at
(707) 823-8722.
NPI number for Miguel Ibarra is 1346883840 and his current mailing address is 450 Stony Point Rd Apt 103, Santa Rosa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346883840.
Healthcare Provider's Profile
| Full Name | Miguel Ibarra |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 438 Eddie Ln, Sebastopol, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346883840
- Provider Enumeration Date: 10/28/2019
- Last Update Date: 08/28/2024
Medical Identifiers
Medical identifiers for Miguel Ibarra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346883840 | NPI | - | NPPES |
| 12179547 | Other | CA | KAISER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | 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. Miguel Ibarra 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 |
|---|
Miguel Ibarra,
450 Stony Point Rd Apt 103,
Santa Rosa, CA 95401-5970
Ph: (707) 703-0857 | Miguel Ibarra,
438 Eddie Ln,
Sebastopol, CA 95472-3425
Ph: (707) 823-8722 |
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