Mr Tyree Brabham Sr, is a
Counselor - Addiction (substance Use Disorder) based in Marcus Hook, Pennsylvania. Mr Tyree Brabham Sr is licensed to practice in Pennsylvania (license number ) and his current practice location is
516 Market St Apt D1, Marcus Hook, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(267) 562-3409.
NPI number for Mr Tyree Brabham Sr is 1356102917 and his current mailing address is 217 E Somerville Ave # 1, Phila, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356102917.
Healthcare Provider's Profile
Full Name | Mr Tyree Brabham Sr |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 516 Market St Apt D1, Marcus Hook, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356102917
- Provider Enumeration Date: 01/22/2024
- Last Update Date: 01/22/2024
Medical Identifiers
Medical identifiers for Mr Tyree Brabham Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356102917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Pennsylvania) | 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 Tyree Brabham Sr 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 Tyree Brabham Sr, 217 E Somerville Ave # 1, Phila, PA 19120-3012 Ph: (267) 562-3409 | Mr Tyree Brabham Sr, 516 Market St Apt D1, Marcus Hook, PA 19061-4539 Ph: (267) 562-3409 |
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