Tyler Kim Hummel, is a
Case Manager/care Coordinator based in San Rafael, California. Tyler Kim Hummel is licensed to practice in California (license number 04282025100448) and his current practice location is
4020 Civic Center Dr, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at
(415) 491-2525.
NPI number for Tyler Kim Hummel is 1558159756 and his current mailing address is 4020 Civic Center Dr, San Rafael, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558159756.
Healthcare Provider's Profile
| Full Name | Tyler Kim Hummel |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 4020 Civic Center Dr, San Rafael, 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: 1558159756
- Provider Enumeration Date: 04/28/2025
- Last Update Date: 05/27/2025
Medical Identifiers
Medical identifiers for Tyler Kim Hummel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558159756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 04282025100448 (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 Kim Hummel 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 Kim Hummel,
4020 Civic Center Dr,
San Rafael, CA 94903-4173
Ph: (415) 491-2525 | Tyler Kim Hummel,
4020 Civic Center Dr,
San Rafael, CA 94903-4173
Ph: (415) 491-2525 |
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