Devon Tyre Hanzer, MSW, LCASA, LCSWA is a
Counselor - Addiction (substance Use Disorder) based in Durham, North Carolina. Devon Tyre Hanzer is licensed to practice in North Carolina (license number LCAS-26933) and his current practice location is
800 N Mangum St Ste 400, Durham, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 683-1607.
NPI number for Devon Tyre Hanzer is 1124604236 and his current mailing address is 8020 Angle Park Dr, B04, Raleigh, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124604236.
Healthcare Provider's Profile
| Full Name | Devon Tyre Hanzer |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 800 N Mangum St Ste 400, Durham, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124604236
- Provider Enumeration Date: 03/19/2021
- Last Update Date: 03/19/2021
Medical Identifiers
Medical identifiers for Devon Tyre Hanzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124604236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | P015877 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-26933 (North Carolina) | 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. Devon Tyre Hanzer 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 |
|---|
Devon Tyre Hanzer, MSW, LCASA, LCSWA
8020 Angle Park Dr, B04,
Raleigh, NC 27617
Ph: (302) 399-7731 | Devon Tyre Hanzer, MSW, LCASA, LCSWA
800 N Mangum St Ste 400,
Durham, NC 27701-2260
Ph: (919) 683-1607 |
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