Derek Leon Tyus, is a
Social Worker based in Madison, Wisconsin. Derek Leon Tyus is licensed to practice in Wisconsin (license number 130839) and his current practice location is
1320 Mendota St Ste 120, Madison, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 280-2700.
NPI number for Derek Leon Tyus is 1689144404 and his current mailing address is 25 Kessel Ct Ste 105, Madison, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689144404.
Healthcare Provider's Profile
| Full Name | Derek Leon Tyus |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1320 Mendota St Ste 120, Madison, Wisconsin |
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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: 1689144404
- Provider Enumeration Date: 12/05/2018
- Last Update Date: 12/05/2018
Medical Identifiers
Medical identifiers for Derek Leon Tyus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689144404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18134 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 130839 (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. Derek Leon Tyus 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 |
|---|
Derek Leon Tyus,
25 Kessel Ct Ste 105,
Madison, WI 53711-6227
Ph: () - | Derek Leon Tyus,
1320 Mendota St Ste 120,
Madison, WI 53714-1060
Ph: (608) 280-2700 |
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