Tiffany Tamaira Bates, APRN is a medicare enrolled "Nurse Practitioner" physician in Stockbridge, Georgia. Her current practice location is
175 Corporate Center Dr Ste B, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 436-0847.
Tiffany Tamaira Bates is licensed to practice in Georgia (license number RN219825) 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 1457943813.
Physician's Profile
Full Name | Tiffany Tamaira Bates |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 175 Corporate Center Dr Ste B, Stockbridge, Georgia |
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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: 1457943813
- Provider Enumeration Date: 02/08/2021
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224414388
- Enrollment ID: I20220928000374
Medical Identifiers
Medical identifiers for Tiffany Tamaira Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457943813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN219825 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN219825 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN219825 (Georgia) | 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 Tamaira Bates allows following entities to bill medicare on her behalf.
Entity Name | Psychiatric Consultants Of Atlanta |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629088984 PECOS PAC ID: 6305949090 Enrollment ID: O20070319000217 |
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Entity Name | Growth Mindset Wellness Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699408005 PECOS PAC ID: 7315323474 Enrollment ID: O20220928000242 |
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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 Tamaira Bates 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 Tamaira Bates, APRN 1550 Marceau Dr, Conley, GA 30288-1976 Ph: (646) 271-1711 | Tiffany Tamaira Bates, APRN 175 Corporate Center Dr Ste B, Stockbridge, GA 30281-7382 Ph: (470) 436-0847 |
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