Miss Tyeshia Monique Ravenel, is a
Student In An Organized Health Care Education/training Program based in Hyde Park, Massachusetts. Miss Tyeshia Monique Ravenel is licensed to practice in * (Not Available) (license number ) and her current practice location is
695 Truman Hwy, Hyde Park, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(888) 763-7272.
NPI number for Miss Tyeshia Monique Ravenel is 1215296439 and her current mailing address is 50 Parker St, Newton Center, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215296439.
Healthcare Provider's Profile
| Full Name | Miss Tyeshia Monique Ravenel |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 695 Truman Hwy, Hyde Park, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215296439
- Provider Enumeration Date: 05/08/2012
- Last Update Date: 07/02/2024
Medical Identifiers
Medical identifiers for Miss Tyeshia Monique Ravenel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215296439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Miss Tyeshia Monique Ravenel 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 |
|---|
Miss Tyeshia Monique Ravenel,
50 Parker St,
Newton Center, MA 02459-2547
Ph: (857) 204-2638 | Miss Tyeshia Monique Ravenel,
695 Truman Hwy,
Hyde Park, MA 02136-3552
Ph: (888) 763-7272 |
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