Tiana Wilson, is a
Rehabilitation Practitioner based in Fallon, Nevada. Tiana Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1490 Grimes St, Fallon, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 423-1412.
NPI number for Tiana Wilson is 1740531854 and her current mailing address is Po Box 1240, Fallon, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740531854.
Healthcare Provider's Profile
| Full Name | Tiana Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1490 Grimes St, Fallon, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740531854
- Provider Enumeration Date: 09/28/2012
- Last Update Date: 09/28/2012
Medical Identifiers
Medical identifiers for Tiana Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740531854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (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. Tiana Wilson 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 |
|---|
Tiana Wilson,
Po Box 1240,
Fallon, NV 89407-1240
Ph: (775) 423-1412 | Tiana Wilson,
1490 Grimes St,
Fallon, NV 89406-3103
Ph: (775) 423-1412 |
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