Tierra Makenzie Coalman, R-AAC, CPC is a
Peer Specialist based in Longview, Washington. Tierra Makenzie Coalman is licensed to practice in Washington (license number CG61424610) and her current practice location is
1400 Commerce Ave, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 998-2047.
NPI number for Tierra Makenzie Coalman is 1205530201 and her current mailing address is Po Box 2394, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205530201.
Healthcare Provider's Profile
| Full Name | Tierra Makenzie Coalman |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1400 Commerce Ave, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205530201
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 12/12/2024
Medical Identifiers
Medical identifiers for Tierra Makenzie Coalman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205530201 | NPI | - | NPPES |
| 2242156 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG61424610 (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG61424610 (Washington) | 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. Tierra Makenzie Coalman 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 |
|---|
Tierra Makenzie Coalman, R-AAC, CPC
Po Box 2394,
Longview, WA 98632-8455
Ph: (360) 425-8679 | Tierra Makenzie Coalman, R-AAC, CPC
1400 Commerce Ave,
Longview, WA 98632-3756
Ph: (360) 998-2047 |
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