Tiffany Rae Corlin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Minneapolis, Minnesota. Her current practice location is
420 Delaware St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 626-4939.
Tiffany Rae Corlin is licensed to practice in * (Not Available) (license number ) 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 1689162281.
Physician's Profile
Full Name | Tiffany Rae Corlin |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 420 Delaware St Se, Minneapolis, Minnesota |
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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: 1689162281
- Provider Enumeration Date: 04/29/2018
- Last Update Date: 07/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537413752
- Enrollment ID: I20220922000575
Medical Identifiers
Medical identifiers for Tiffany Rae Corlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689162281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 71054 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Rae Corlin allows following entities to bill medicare on her behalf.
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
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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 Rae Corlin 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 Rae Corlin, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 626-4939 | Tiffany Rae Corlin, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 626-4939 |
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