Tiffany Ann Bruckner, DO in Saint Clair Shores, MI

Tiffany Ann Bruckner, DO is a medicare enrolled "Pediatrics" physician in Saint Clair Shores, Michigan. Her current practice location is 25319 Little Mack Ave, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 443-4950.

Tiffany Ann Bruckner is licensed to practice in Michigan (license number 5101021660) 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 1750760070.

Contact Information

	Tiffany Ann Bruckner, DO
	25319 Little Mack Ave, Saint Clair Shores, MI 48081-3370
	(586) 443-4950
	Not Available

Map and Direction

Physician's Profile

Full Name	Tiffany Ann Bruckner
Gender	Female
Speciality	Pediatrics
Location	25319 Little Mack Ave, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750760070
Provider Enumeration Date: 05/19/2015
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5496019978
Enrollment ID: I20180509001194

Medical Identifiers

Medical identifiers for Tiffany Ann Bruckner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750760070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101021660 (Michigan)	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 Ann Bruckner allows following entities to bill medicare on her behalf.

Entity Name	Seton Health Corporation Of Southeastern Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598177065 PECOS PAC ID: 2567689540 Enrollment ID: O20140814002590

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 Ann Bruckner 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
Tiffany Ann Bruckner, DO 25319 Little Mack Ave, Saint Clair Shores, MI 48081-3370 Ph: (586) 443-4950	Tiffany Ann Bruckner, DO 25319 Little Mack Ave, Saint Clair Shores, MI 48081-3370 Ph: (586) 443-4950

Reviews and Comments

Pediatrics Doctors in Saint Clair Shores, MI

Rubin Peter Gappy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Giuseppina Lombardo Naughton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
David Walter Kroll, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Kendra Helene Motyl, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Elizabeth Anne Hall, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 21931 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-443-4950 Fax: 586-443-4980
Dr. Paul Padesky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090
Lorraine Armstrong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22656 Wildwood St, Saint Clair Shores, MI 48081 Phone: 419-283-4778

Tiffany Ann Bruckner, DO - Medicare Pediatrics in Saint Clair Shores, MI