Tiffani Gebhardt, in Forty Fort, PA - Medicare Counselor Provider

Tiffani Gebhardt, is a medicare enrolled "Counselor - Professional" provider in Forty Fort, Pennsylvania. Her current practice location is 1169 Wyoming Ave, Forty Fort, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 904-7363.

Tiffani Gebhardt is licensed to practice in Pennsylvania (license number PC014991) 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 1306563374.

Contact Information

	Tiffani Gebhardt,
	1169 Wyoming Ave, Forty Fort, PA 18704-4003
	(570) 904-7363
	(570) 348-4079

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffani Gebhardt
Gender	Female
Speciality	Counselor - Professional
Location	1169 Wyoming Ave, Forty Fort, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306563374
Provider Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2567807928
Enrollment ID: I20240226002694

Medical Identifiers

Medical identifiers for Tiffani Gebhardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306563374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC014991 (Pennsylvania)	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. Tiffani Gebhardt allows following entities to bill medicare on her behalf.

Entity Name	Thaxton Holistic Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609243898 PECOS PAC ID: 2769818418 Enrollment ID: O20200129000324

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. Tiffani Gebhardt 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
Tiffani Gebhardt, 228 S Main Ave, Scranton, PA 18504-2545 Ph: (570) 904-7363	Tiffani Gebhardt, 1169 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: (570) 904-7363

Reviews and Comments

Counselor in Forty Fort, PA

Kimberly Stokes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-762-9592
George Mercurio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079
Julia Lieback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-472-8938
Allyson Nichole Villella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363 Fax: 570-348-4079
Jackalynn Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1169 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-904-7363
Ms. Jeanne Ann Grymko, L.P.C., C.A.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Turner St, Forty Fort, PA 18704 Phone: 570-313-6449

Tiffani Gebhardt, - Medicare Counselor in Forty Fort, PA