Mr Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI is a
Health & Wellness Coach based in Marquette, Michigan. Mr Derrick Tyrone Gillard is licensed to practice in Michigan (license number ) and his current practice location is
249 Oakridge Dr, Marquette, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 573-9465.
NPI number for Mr Derrick Tyrone Gillard is 1962395418 and his current mailing address is 249 Oakridge Dr, Marquette, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962395418.
Healthcare Provider's Profile
Full Name | Mr Derrick Tyrone Gillard |
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Gender | Male |
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Speciality | Health & Wellness Coach |
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Location | 249 Oakridge Dr, Marquette, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962395418
- Provider Enumeration Date: 06/02/2025
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Mr Derrick Tyrone Gillard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962395418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
101YP1600X | Counselor - Pastoral | (Michigan) | Secondary |
172A00000X | Driver | (Michigan) | Secondary |
171400000X | Health & Wellness Coach | (Michigan) | 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 Derrick Tyrone Gillard 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 Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI 249 Oakridge Dr, Marquette, MI 49855-8864 Ph: (248) 573-9465 | Mr Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI 249 Oakridge Dr, Marquette, MI 49855-8864 Ph: (248) 573-9465 |
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