Tiffany Lori Lopez, MSW, LICSW in Clarksville, TN - Medicare Social Worker Provider

Tiffany Lori Lopez, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Clarksville, Tennessee. Her current practice location is 104 Schroer Rd, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (320) 406-7608.

Tiffany Lori Lopez is licensed to practice in Tennessee (license number 8691) 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 1679094429.

Contact Information

	Tiffany Lori Lopez, MSW, LICSW
	104 Schroer Rd, Clarksville, TN 37042-2560
	(320) 406-7608
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Lori Lopez
Gender	Female
Speciality	Social Worker - Clinical
Location	104 Schroer Rd, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679094429
Provider Enumeration Date: 07/02/2017
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6800215757
Enrollment ID: I20200928001019

Medical Identifiers

Medical identifiers for Tiffany Lori Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679094429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26671 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	21642 (Maine)	Secondary
1041C0700X	Social Worker - Clinical	61366170 (Washington)	Secondary
1041C0700X	Social Worker - Clinical	11166-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	8691 (Tennessee)	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. Tiffany Lori Lopez allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874

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. Tiffany Lori Lopez 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
Tiffany Lori Lopez, MSW, LICSW 104 Schroer Rd, Clarksville, TN 37042-2560 Ph: (320) 406-7608	Tiffany Lori Lopez, MSW, LICSW 104 Schroer Rd, Clarksville, TN 37042-2560 Ph: (320) 406-7608

Reviews and Comments

Social Worker in Clarksville, TN

Joshua Forbess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2937 International Boulevard, Clarksville, TN 37043 Phone: 931-648-0656
Candace-tara C Cook, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 871 Professional Park Dr, Clarksville, TN 37040 Phone: 866-816-0433
Jill Brick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4041 Sadie Grace Way, Clarksville, TN 37042 Phone: 815-280-9439
Trista Ann Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-5440
Ms. Veronica Laverne Chambers, B.S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-920-7241 Fax: 931-920-7205
Angela D Taflinger, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Fairview Ln, Clarksville, TN 37040 Phone: 931-245-6922 Fax: 931-274-0500
Rondell Harju, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 399 Dover Rd, Clarksville, TN 37042 Phone: 931-624-4080 Fax: 931-919-1246

Tiffany Lori Lopez, MSW, LICSW - Medicare Clinical Social Worker in Clarksville, TN