Mary Tieh, is a
Community Health Worker based in Oakland, California. Mary Tieh is licensed to practice in * (Not Available) (license number ) and her current practice location is
401 Roland Way Ste 150, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 609-2854.
NPI number for Mary Tieh is 1497408462 and her current mailing address is 401 Roland Way Ste 150, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497408462.
Healthcare Provider's Profile
| Full Name | Mary Tieh |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 401 Roland Way Ste 150, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497408462
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 07/11/2023
Medical Identifiers
Medical identifiers for Mary Tieh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497408462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Mary Tieh 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 |
|---|
Mary Tieh,
401 Roland Way Ste 150,
Oakland, CA 94621-2027
Ph: (510) 609-2854 | Mary Tieh,
401 Roland Way Ste 150,
Oakland, CA 94621-2027
Ph: (510) 609-2854 |
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