MEDICARE: MISS RACHEL MARIE BELLAMY BA, MBA, CSAC-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578896015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RACHEL MARIE BELLAMY BA, MBA, CSAC-R

Provider Business Mailing Address
First Line	:	47 EVERARD ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01605-3971
Country	:	US
Telephone Number	:	843-999-6535
Fax Number	:

Provider Business Practice Location Address
First Line	:	2398 LENORA CHURCH RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-6921
Country	:	US
Telephone Number	:	919-455-7117
Fax Number	:	866-820-9846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	02/13/2024

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