Mrs Tiffany Nicole Shurtz, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Du Quin, Illinois. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dynamic Counseling And Consultation Services and her current practice location is
119 Gas Plant Rd, Du Quin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 790-2146.
Mrs Tiffany Nicole Shurtz is licensed to practice in Illinois (license number 149023877) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467112417.
Healthcare Provider's Profile
Full Name | Mrs Tiffany Nicole Shurtz |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 9 Years |
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Location | 119 Gas Plant Rd, Du Quin, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tiffany Nicole Shurtz graduated from medical school in 2015
NPI Data:
- NPI Number: 1467112417
- Provider Enumeration Date: 12/17/2021
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002200888
- Enrollment ID: I20220221000700
Medical Identifiers
Medical identifiers for Mrs Tiffany Nicole Shurtz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467112417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149023877 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dynamic Counseling And Consultation Services | 6709186703 | 2 |
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. Mrs Tiffany Nicole Shurtz allows following entities to bill medicare on her behalf.
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
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Entity Name | Dynamic Counseling And Consultation Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457771677 PECOS PAC ID: 6709186703 Enrollment ID: O20151124000258 |
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Entity Name | Live Well Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881055838 PECOS PAC ID: 5991002420 Enrollment ID: O20160329002203 |
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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. Mrs Tiffany Nicole Shurtz 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 |
Mrs Tiffany Nicole Shurtz, MSW, LCSW Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-1633 | Mrs Tiffany Nicole Shurtz, MSW, LCSW 119 Gas Plant Rd, Du Quin, IL 62832-3866 Ph: (618) 790-2146 |
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