Tiffany Marie Tyler, is a
Community Health Worker based in Vallejo, California. Tiffany Marie Tyler is licensed to practice in * (Not Available) (license number ) and her current practice location is
908 Tuolumne St, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(707) 648-8121.
NPI number for Tiffany Marie Tyler is 1003279852 and her current mailing address is 236 Georgia St Ste 101, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003279852.
Healthcare Provider's Profile
| Full Name | Tiffany Marie Tyler |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 908 Tuolumne St, Vallejo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003279852
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 05/18/2023
Medical Identifiers
Medical identifiers for Tiffany Marie Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003279852 | 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. Tiffany Marie Tyler 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 |
|---|
Tiffany Marie Tyler,
236 Georgia St Ste 101,
Vallejo, CA 94590-5962
Ph: () - | Tiffany Marie Tyler,
908 Tuolumne St,
Vallejo, CA 94590-4641
Ph: (707) 648-8121 |
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