Tiyahri Cheriece Wilson, MS is a
Case Manager/care Coordinator based in Gulfport, Mississippi. Tiyahri Cheriece Wilson is licensed to practice in Mississippi (license number 800024708) and her current practice location is
1619 18th Ave, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(832) 245-9910.
NPI number for Tiyahri Cheriece Wilson is 1679011324 and her current mailing address is Po Box 7354, Diberville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679011324.
Healthcare Provider's Profile
| Full Name | Tiyahri Cheriece Wilson |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1619 18th Ave, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679011324
- Provider Enumeration Date: 02/02/2017
- Last Update Date: 11/13/2020
Medical Identifiers
Medical identifiers for Tiyahri Cheriece Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679011324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 800024708 (Mississippi) | 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. Tiyahri Cheriece 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 |
|---|
Tiyahri Cheriece Wilson, MS
Po Box 7354,
Diberville, MS 39540-7201
Ph: (832) 245-9910 | Tiyahri Cheriece Wilson, MS
1619 18th Ave,
Gulfport, MS 39501-2131
Ph: (832) 245-9910 |
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