Miss Tiffany Shannon Ray, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Horn Lake, Mississippi. Her current practice location is
6410 Walnut Grove Rd, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(901) 652-0880.
Miss Tiffany Shannon Ray is licensed to practice in Mississippi (license number R864509) 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 1114097615.
Provider's Profile
| Full Name | Miss Tiffany Shannon Ray |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6410 Walnut Grove Rd, Horn Lake, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Tiffany Shannon Ray attended and graduated from in
NPI Data:
- NPI Number: 1114097615
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Miss Tiffany Shannon Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114097615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R864509 (Mississippi) | Primary |
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. Miss Tiffany Shannon Ray 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 |
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Miss Tiffany Shannon Ray, CRNA
6410 Walnut Grove Rd,
Horn Lake, MS 38637-2023
Ph: (901) 652-0880 | Miss Tiffany Shannon Ray, CRNA
6410 Walnut Grove Rd,
Horn Lake, MS 38637-2023
Ph: (901) 652-0880 |
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