Tyra Deanine Oliver, is a
Social Worker - Clinical based in Riverdale, Illinois. Tyra Deanine Oliver is licensed to practice in Illinois (license number 149013879) and her current practice location is
316 W 145th St, Riverdale, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 307-2307.
NPI number for Tyra Deanine Oliver is 1437471562 and her current mailing address is 316 W 145th St, Riverdale, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437471562.
Healthcare Provider's Profile
Full Name | Tyra Deanine Oliver |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 316 W 145th St, Riverdale, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437471562
- Provider Enumeration Date: 02/16/2010
- Last Update Date: 09/20/2020
Medical Identifiers
Medical identifiers for Tyra Deanine Oliver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437471562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149013879 (Illinois) | 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. Tyra Deanine Oliver 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 |
Tyra Deanine Oliver, 316 W 145th St, Riverdale, IL 60827-2711 Ph: () - | Tyra Deanine Oliver, 316 W 145th St, Riverdale, IL 60827-2711 Ph: (708) 307-2307 |
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