Tiffany V Moore, LIMHP is a medicare enrolled "Social Worker - Clinical" provider in Omaha, Nebraska. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
11414 W Center Rd Ste 348, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 637-6778.
Tiffany V Moore is licensed to practice in Nebraska (license number 1687) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1902338452.
Healthcare Provider's Profile
| Full Name | Tiffany V Moore |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 11414 W Center Rd Ste 348, Omaha, Nebraska |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany V Moore graduated from medical school in 2013
NPI Data:
- NPI Number: 1902338452
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 12/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951687821
- Enrollment ID: I20170406002227
Medical Identifiers
Medical identifiers for Tiffany V Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902338452 | NPI | - | NPPES |
| 10026480123 | Medicaid | NE | |
| 1902338452 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1706 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1687 (Nebraska) | 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 V Moore allows following entities to bill medicare on her behalf.
| Entity Name | Physicians Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345 |
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| Entity Name | Alegent Creighton Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033288923
PECOS PAC ID: 1850285255
Enrollment ID: O20040326000802 |
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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. Tiffany V Moore 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 |
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Tiffany V Moore, LIMHP
1001 Gold Coast Rd,
Papillion, NE 68046-4294
Ph: (402) 215-4913 | Tiffany V Moore, LIMHP
11414 W Center Rd Ste 348,
Omaha, NE 68144-4420
Ph: (402) 637-6778 |
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