Tierra Yonker, is a
Counselor - Addiction (substance Use Disorder) based in Eden, Wisconsin. Tierra Yonker is licensed to practice in Wisconsin (license number 16047-132) and her current practice location is
N4590 Hwy 45, Eden, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 904-6445.
NPI number for Tierra Yonker is 1265107379 and her current mailing address is N4590 Hwy 45, Eden, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265107379.
Healthcare Provider's Profile
| Full Name | Tierra Yonker |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | N4590 Hwy 45, Eden, Wisconsin |
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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: 1265107379
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 08/11/2021
Medical Identifiers
Medical identifiers for Tierra Yonker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265107379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 13122-121 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16047-132 (Wisconsin) | 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. Tierra Yonker 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 |
|---|
Tierra Yonker,
N4590 Hwy 45,
Eden, WI 53019-1212
Ph: (920) 904-6445 | Tierra Yonker,
N4590 Hwy 45,
Eden, WI 53019-1212
Ph: (920) 904-6445 |
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