Mrs Tiffine Lynn Prisock, FNP-C is a medicare enrolled "Family Medicine" physician in Mathiston, Mississippi. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Golden Triangle Urgent Care Llc and her current practice location is
24978 Ms-15, Mathiston, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 634-3089.
Mrs Tiffine Lynn Prisock is licensed to practice in Mississippi (license number 904155) 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 1457967226.
Physician's Profile
Full Name | Mrs Tiffine Lynn Prisock |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 24978 Ms-15, Mathiston, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tiffine Lynn Prisock graduated from medical school in 2020
NPI Data:
- NPI Number: 1457967226
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799195897
- Enrollment ID: I20201030001465
Medical Identifiers
Medical identifiers for Mrs Tiffine Lynn Prisock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457967226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 904155 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Golden Triangle Urgent Care Llc | 7315197498 | 12 |
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. Mrs Tiffine Lynn Prisock allows following entities to bill medicare on her behalf.
Entity Name | Convenient Care Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851490841 PECOS PAC ID: 1052587284 Enrollment ID: O20120110000278 |
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Entity Name | Golden Triangle Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818 |
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Entity Name | Dutch Medical Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
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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. Mrs Tiffine Lynn Prisock 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 |
Mrs Tiffine Lynn Prisock, FNP-C 24978 Ms-15, Mathiston, MS 39752 Ph: (662) 634-3089 | Mrs Tiffine Lynn Prisock, FNP-C 24978 Ms-15, Mathiston, MS 39752 Ph: (662) 634-3089 |
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