Ms Tyvisha C Mason, ACSW is a
Student In An Organized Health Care Education/training Program based in Yountville, California. Ms Tyvisha C Mason is licensed to practice in * (Not Available) (license number ) and her current practice location is
260 Califronia Drive, Yountville, California. She can be reached at her office (for appointments etc.) via phone at
(707) 944-4797.
NPI number for Ms Tyvisha C Mason is 1619556834 and her current mailing address is 260 California Dr, Yountville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619556834.
Healthcare Provider's Profile
| Full Name | Ms Tyvisha C Mason |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 260 Califronia Drive, Yountville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619556834
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Ms Tyvisha C Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619556834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 99258 (California) | 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. Ms Tyvisha C Mason 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 Tyvisha C Mason, ACSW
260 California Dr,
Yountville, CA 94599-1412
Ph: (707) 944-4797 | Ms Tyvisha C Mason, ACSW
260 Califronia Drive,
Yountville, CA 94599-3911
Ph: (707) 944-4797 |
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