Amanda Mae Tiffany, is a medicare enrolled "Pediatrics" physician in Daleville, Virginia. Her current practice location is
60 Market Center Way, Daleville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 992-1251.
Amanda Mae Tiffany is licensed to practice in Virginia (license number 0102204843) 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 1154731198.
Physician's Profile
Full Name | Amanda Mae Tiffany |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 60 Market Center Way, Daleville, Virginia |
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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: 1154731198
- Provider Enumeration Date: 04/29/2014
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002036654
- Enrollment ID: I20170725003235
Medical Identifiers
Medical identifiers for Amanda Mae Tiffany such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154731198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0102204843 (Virginia) | 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. Amanda Mae Tiffany allows following entities to bill medicare on her behalf.
Entity Name | Carilion Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
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Entity Name | Carilion Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
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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. Amanda Mae Tiffany 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 |
Amanda Mae Tiffany, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5715 | Amanda Mae Tiffany, 60 Market Center Way, Daleville, VA 24083-3261 Ph: (540) 992-1251 |
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