Mr Tyler David Ham, is a
Case Manager/care Coordinator based in Hollister, California. Mr Tyler David Ham is licensed to practice in * (Not Available) (license number ) and his current practice location is
1131 Community Pkwy, Hollister, California. He can be reached at his office (for appointments etc.) via phone at
(209) 478-2407.
NPI number for Mr Tyler David Ham is 1609432160 and his current mailing address is 999 Porter Ave Apt 12, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609432160.
Healthcare Provider's Profile
| Full Name | Mr Tyler David Ham |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1131 Community Pkwy, Hollister, California |
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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: 1609432160
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 08/30/2021
Medical Identifiers
Medical identifiers for Mr Tyler David Ham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609432160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Mr Tyler David Ham 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 |
|---|
Mr Tyler David Ham,
999 Porter Ave Apt 12,
Stockton, CA 95207-4277
Ph: (209) 815-8815 | Mr Tyler David Ham,
1131 Community Pkwy,
Hollister, CA 95023
Ph: (209) 478-2407 |
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