Tina Marie Gillman, is a
Behavior Technician based in Wayland, Michigan. Tina Marie Gillman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1236 E Bernie Ct, Wayland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 214-9306.
NPI number for Tina Marie Gillman is 1982364956 and her current mailing address is Po Box 408, Wayland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982364956.
Healthcare Provider's Profile
| Full Name | Tina Marie Gillman |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1236 E Bernie Ct, Wayland, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982364956
- Provider Enumeration Date: 12/17/2021
- Last Update Date: 12/17/2021
Medical Identifiers
Medical identifiers for Tina Marie Gillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982364956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (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. Tina Marie Gillman 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 |
|---|
Tina Marie Gillman,
Po Box 408,
Wayland, MI 49348-0408
Ph: (616) 214-9306 | Tina Marie Gillman,
1236 E Bernie Ct,
Wayland, MI 49348-9377
Ph: (616) 214-9306 |
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