Ms Temekia M Wyckoff, is a
Public Health Or Welfare based in Highland Park, Michigan. Ms Temekia M Wyckoff is licensed to practice in Michigan (license number 802268787) and her current practice location is
153 California St, Highland Park, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 468-0673.
NPI number for Ms Temekia M Wyckoff is 1972062321 and her current mailing address is Po Box 563, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972062321.
Healthcare Provider's Profile
| Full Name | Ms Temekia M Wyckoff |
|---|
| Gender | Female |
|---|
| Speciality | Public Health Or Welfare |
|---|
| Location | 153 California St, Highland Park, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972062321
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 03/15/2019
Medical Identifiers
Medical identifiers for Ms Temekia M Wyckoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972062321 | NPI | - | NPPES |
| 802268787 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 802268787 (Michigan) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 802268787 (Michigan) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 802268787 (Michigan) | Secondary |
| 251E00000X | Home Health | 802268787 (Michigan) | Secondary |
| 251K00000X | Public Health Or Welfare | 802268787 (Michigan) | 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. Ms Temekia M Wyckoff 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 |
|---|
Ms Temekia M Wyckoff,
Po Box 563,
Southfield, MI 48037-0563
Ph: (313) 468-0673 | Ms Temekia M Wyckoff,
153 California St,
Highland Park, MI 48203-3517
Ph: (313) 468-0673 |
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