Stephanie Tickerhoff, FNP is a medicare enrolled "Nurse Practitioner" physician in Kernersville, North Carolina. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Moses Cone Physician Services, Inc and her current practice location is
280 Broad St, Suite A, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 277-6430.
Stephanie Tickerhoff is licensed to practice in North Carolina (license number 201811) 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 1942479571.
Physician's Profile
| Full Name | Stephanie Tickerhoff |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 21 Years |
|---|
| Location | 280 Broad St, Kernersville, North Carolina |
|---|
| 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:
- Stephanie Tickerhoff graduated from medical school in 2003
NPI Data:
- NPI Number: 1942479571
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284624073
- Enrollment ID: I20040513001406
Medical Identifiers
Medical identifiers for Stephanie Tickerhoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942479571 | NPI | - | NPPES |
| 7003723 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 201811 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 201811 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Moses Cone Physician Services, Inc | 4284782210 | 306 |
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. Stephanie Tickerhoff allows following entities to bill medicare on her behalf.
| Entity Name | Novant Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692 |
|---|
| Entity Name | Moses Cone Physician Services, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202 |
|---|
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. Stephanie Tickerhoff 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 |
|---|
Stephanie Tickerhoff, FNP
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (336) 277-6430 | Stephanie Tickerhoff, FNP
280 Broad St, Suite A,
Kernersville, NC 27284-2796
Ph: (336) 277-6430 |
Reviews and Comments