Tanya Marie Childress, is a
Community Health Worker based in San Bernardino, California. Tanya Marie Childress is licensed to practice in * (Not Available) (license number ) and her current practice location is
572 N Arrowhead Ave, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 659-5834.
NPI number for Tanya Marie Childress is 1093840134 and her current mailing address is 572 N Arrowhead Ave, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093840134.
Healthcare Provider's Profile
Full Name | Tanya Marie Childress |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 572 N Arrowhead Ave, San Bernardino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093840134
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Tanya Marie Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093840134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Tanya Marie Childress 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 |
Tanya Marie Childress, 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 Ph: (909) 659-5834 | Tanya Marie Childress, 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 Ph: (909) 659-5834 |
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