Tyisha Merritt, is a
Community Health Worker based in Concord, California. Tyisha Merritt is licensed to practice in * (Not Available) (license number ) and her current practice location is
1034 Oak Grove Rd, Concord, California. She can be reached at her office (for appointments etc.) via phone at
(925) 681-4450.
NPI number for Tyisha Merritt is 1770028110 and her current mailing address is 1034 Oak Grove Rd, Concord, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770028110.
Healthcare Provider's Profile
| Full Name | Tyisha Merritt |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1034 Oak Grove Rd, Concord, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770028110
- Provider Enumeration Date: 12/20/2016
- Last Update Date: 05/12/2023
Medical Identifiers
Medical identifiers for Tyisha Merritt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770028110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | 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. Tyisha Merritt 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 |
|---|
Tyisha Merritt,
1034 Oak Grove Rd,
Concord, CA 94518-3225
Ph: (925) 681-4450 | Tyisha Merritt,
1034 Oak Grove Rd,
Concord, CA 94518-3225
Ph: (925) 681-4450 |
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