Dr Tiffany Overstreet Providence, DO - Medicare Diagnostic Radiology in Dallas, TX

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Dr Tiffany Overstreet Providence, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dallas, Texas. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Columbus Diagnostic Center Inc, Northside Radiology Associates Llc and her current practice location is 4055 Valley View Ln Ste 400, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 466-7420.

Dr Tiffany Overstreet Providence is licensed to practice in Georgia (license number 075202) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316267404.

Contact Information

Dr Tiffany Overstreet Providence, DO
4055 Valley View Ln Ste 400,
Dallas, TX 75244-5071
(469) 466-7420
Not Available

Map and Direction




Physician's Profile

Full NameDr Tiffany Overstreet Providence
GenderFemale
SpecialityDiagnostic Radiology
Experience14 Years
Location4055 Valley View Ln Ste 400, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tiffany Overstreet Providence graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1316267404
  • Provider Enumeration Date: 06/11/2010
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274845219
  • Enrollment ID: I20160810000848

Medical Identifiers

Medical identifiers for Dr Tiffany Overstreet Providence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316267404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101021534 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 075202 (Georgia)Primary
2085R0202XRadiology - Diagnostic Radiology 75202 (Georgia)Secondary
208D00000XGeneral Practice 75202 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Columbus Regional MidtownColumbus, GAHospital
Piedmont Columbus Regional NorthsideColumbus, GAHospital
St Francis Hospital- Emory HealthcareColumbus, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbus Diagnostic Center Inc337545588438
Northside Radiology Associates Llc4486555398222

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. Dr Tiffany Overstreet Providence allows following entities to bill medicare on her behalf.
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095
Entity NameColumbus Diagnostic Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316108624
PECOS PAC ID: 3375455884
Enrollment ID: O20040429001218
Entity NameGeorgia Radiology Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831461771
PECOS PAC ID: 5698930774
Enrollment ID: O20120625000184

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. Dr Tiffany Overstreet Providence 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 AddressPractice Location Address
Dr Tiffany Overstreet Providence, DO
4055 Valley View Ln Ste 400,
Dallas, TX 75244-5071

Ph: () -		Dr Tiffany Overstreet Providence, DO
4055 Valley View Ln Ste 400,
Dallas, TX 75244-5071

Ph: (469) 466-7420

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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