Dr Tiara Nashun Dolberry, DC is a medicare enrolled "Chiropractor" provider in White Plains, Maryland. Her current practice location is
11159 Saint Christopher Dr, White Plains, Maryland. You can reach out to her office (for appointments etc.) via phone at
(253) 503-9507.
Dr Tiara Nashun Dolberry is licensed to practice in Maryland (license number S04140) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053058149.
Healthcare Provider's Profile
Full Name | Dr Tiara Nashun Dolberry |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 11159 Saint Christopher Dr, White Plains, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053058149
- Provider Enumeration Date: 05/19/2022
- Last Update Date: 07/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092177477
- Enrollment ID: I20230817000724
Medical Identifiers
Medical identifiers for Dr Tiara Nashun Dolberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053058149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | S04140 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tiara Nashun Dolberry allows following entities to bill medicare on her behalf.
Provider Name | Artisan Chiropractic Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1447716899 PECOS PAC ID: 9537582366 Enrollment ID: O20200713000054 |
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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. Dr Tiara Nashun Dolberry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tiara Nashun Dolberry, DC 11159 Saint Christopher Dr, White Plains, MD 20695-4122 Ph: (253) 503-9507 | Dr Tiara Nashun Dolberry, DC 11159 Saint Christopher Dr, White Plains, MD 20695-4122 Ph: (253) 503-9507 |
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