Mr Tyrone Perry Miller Sr, MA, CCFC, CCHP-MH is a
Case Manager/care Coordinator based in Hayward, California. Mr Tyrone Perry Miller Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
22320 Foothill Blvd Ste 428, Hayward, California. He can be reached at his office (for appointments etc.) via phone at
(510) 722-7050.
NPI number for Mr Tyrone Perry Miller Sr is 1700364734 and his current mailing address is 552 Millwood Dr, Patterson, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700364734.
Healthcare Provider's Profile
| Full Name | Mr Tyrone Perry Miller Sr |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 22320 Foothill Blvd Ste 428, Hayward, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700364734
- Provider Enumeration Date: 08/01/2018
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Mr Tyrone Perry Miller Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700364734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Mr Tyrone Perry Miller Sr 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 |
|---|
Mr Tyrone Perry Miller Sr, MA, CCFC, CCHP-MH
552 Millwood Dr,
Patterson, CA 95363-9276
Ph: (209) 810-3393 | Mr Tyrone Perry Miller Sr, MA, CCFC, CCHP-MH
22320 Foothill Blvd Ste 428,
Hayward, CA 94541-2719
Ph: (510) 722-7050 |
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