Tyler Jerome Redmond, is a
Case Manager/care Coordinator based in Placerville, California. Tyler Jerome Redmond is licensed to practice in California (license number ) and his current practice location is
670 Placerville Dr, Placerville, California. He can be reached at his office (for appointments etc.) via phone at
(530) 644-2412.
NPI number for Tyler Jerome Redmond is 1275034472 and his current mailing address is 670 Placerville Dr, Placerville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275034472.
Healthcare Provider's Profile
| Full Name | Tyler Jerome Redmond |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 670 Placerville Dr, Placerville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275034472
- Provider Enumeration Date: 02/22/2018
- Last Update Date: 06/02/2023
Medical Identifiers
Medical identifiers for Tyler Jerome Redmond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275034472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | 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. Tyler Jerome Redmond 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 |
|---|
Tyler Jerome Redmond,
670 Placerville Dr,
Placerville, CA 95667-4200
Ph: (530) 644-2412 | Tyler Jerome Redmond,
670 Placerville Dr,
Placerville, CA 95667-4200
Ph: (530) 644-2412 |
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