Tiffanni Mielke, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Junction, Michigan. Her current practice location is
54320 County Road 388, Grand Junction, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 363-2302.
Tiffanni Mielke is licensed to practice in Michigan (license number 6801090187) 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 1083151427.
Healthcare Provider's Profile
Full Name | Tiffanni Mielke |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 54320 County Road 388, Grand Junction, Michigan |
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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: 1083151427
- Provider Enumeration Date: 01/24/2017
- Last Update Date: 07/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466782834
- Enrollment ID: I20190927000257
Medical Identifiers
Medical identifiers for Tiffanni Mielke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083151427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801090187 (Michigan) | 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. Tiffanni Mielke allows following entities to bill medicare on her behalf.
Entity Name | Serenity Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548813512 PECOS PAC ID: 2668702036 Enrollment ID: O20190903003045 |
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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. Tiffanni Mielke 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 |
Tiffanni Mielke, LMSW 54320 County Road 388, Grand Jct, MI 49056-9272 Ph: (269) 363-2302 | Tiffanni Mielke, LMSW 54320 County Road 388, Grand Junction, MI 49056-9272 Ph: (269) 363-2302 |
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