Tiffany J Fan, MD in Avon, IN - Medicare Obstetrics/gynecology

Tiffany J Fan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Avon, Indiana. She went to Creighton University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Indiana University Health Care Associates Inc and her current practice location is 1115 Ronald Reagan Pkwy Ste 266, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 217-2500.

Tiffany J Fan is licensed to practice in Indiana (license number 01085447A) 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 1396272076.

Contact Information

	Tiffany J Fan, MD
	1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123-6911
	(317) 217-2500
	Not Available

Map and Direction

Physician's Profile

Full Name	Tiffany J Fan
Gender	Female
Speciality	Obstetrics/gynecology
Experience	7 Years
Location	1115 Ronald Reagan Pkwy Ste 266, Avon, Indiana
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:

Tiffany J Fan attended and graduated from Creighton University School Of Medicine in 2017

NPI Data:

NPI Number: 1396272076
Provider Enumeration Date: 05/12/2017
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 1951705672
Enrollment ID: I20210803001769

Medical Identifiers

Medical identifiers for Tiffany J Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396272076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MT2013186 (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	01085447A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Iu Health West Hospital	Avon, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Care Associates Inc	5799755864	905

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 J Fan allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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 J Fan 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 J Fan, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Tiffany J Fan, MD 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123-6911 Ph: (317) 217-2500

Reviews and Comments

Obstetrics & Gynecology Doctors in Avon, IN

Travis A Richardson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123 Phone: 317-217-2777 Fax: 317-217-2775
Deanna M Fenoughty, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
Julia Lauren Ruckman-long, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
Anita K Mazdai, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044
John G Jarrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Ste C-1100, Avon, IN 46123 Phone: 317-217-2525
Beatrice Soderholm, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033

Tiffany J Fan, MD - Medicare Obstetrics/gynecology in Avon, IN