Tiffany Statham, LCSW in Provo, UT - Medicare Social Worker Provider

Tiffany Statham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Provo, Utah. Her current practice location is 1034 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-2068.

Tiffany Statham is licensed to practice in Utah (license number 7922725-3501) 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 1669808317.

Contact Information

	Tiffany Statham, LCSW
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-2068
	(801) 357-7274

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Statham
Gender	Female
Speciality	Social Worker - Clinical
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669808317
Provider Enumeration Date: 09/25/2013
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 4688996598
Enrollment ID: I20141204000176

Medical Identifiers

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

Identifier	Type	State	Issuer
1669808317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7922725-3501 (Utah)	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 Statham allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Statham 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 Statham, LCSW 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-2068	Tiffany Statham, LCSW 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-2068

Reviews and Comments

Social Worker in Provo, UT

Dallas Bean, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W Ste 300, Provo, UT 84601 Phone: 801-373-4760
Brenna Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215
Benjamin Theurer, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032

Tiffany Statham, LCSW - Medicare Clinical Social Worker in Provo, UT