Tiffany Powell Avila, MD is a medicare enrolled "Neurological Surgery" physician in Eureka, California. Her current practice location is
2675 Harris St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 268-0190.
Tiffany Powell Avila is licensed to practice in California (license number A138522) 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 1528275864.
Physician's Profile
Full Name | Tiffany Powell Avila |
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Gender | Female |
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Speciality | Neurological Surgery |
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Location | 2675 Harris St, Eureka, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528275864
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971773300
- Enrollment ID: I20160222000821
Medical Identifiers
Medical identifiers for Tiffany Powell Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528275864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | MD041720 (District Of Columbia) | Secondary |
207T00000X | Neurological Surgery | 0101249185 (Virginia) | Secondary |
207T00000X | Neurological Surgery | A138522 (California) | 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 Powell Avila allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | First Choice Physician Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
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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. Tiffany Powell Avila 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 Powell Avila, MD 14201 Dallas Pkwy, Dallas, TX 75254-2916 Ph: (469) 893-2587 | Tiffany Powell Avila, MD 2675 Harris St, Eureka, CA 95503-4806 Ph: (707) 268-0190 |
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