Mrs Tiffany Betts Waller, CRNP in Birmingham, AL

Mrs Tiffany Betts Waller, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Birmingham, Alabama. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grayson And Associates Pc and her current practice location is 2200 Lakeshore Dr, Suite 150, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 871-6926.

Mrs Tiffany Betts Waller is licensed to practice in Alabama (license number 1-137729) 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 1275082430.

Contact Information

	Mrs Tiffany Betts Waller, CRNP
	2200 Lakeshore Dr, Suite 150, Birmingham, AL 35209-8803
	(205) 871-6926
	(205) 871-7981

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany Betts Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2200 Lakeshore Dr, Birmingham, Alabama
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:

Mrs Tiffany Betts Waller graduated from nursing school in 2016

NPI Data:

NPI Number: 1275082430
Provider Enumeration Date: 09/29/2016
Last Update Date: 09/29/2016

Medicare PECOS Information:

PECOS PAC ID: 0446538458
Enrollment ID: I20161026001448

Medical Identifiers

Medical identifiers for Mrs Tiffany Betts Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275082430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-137729 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grayson And Associates Pc	9032108253	59

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. Mrs Tiffany Betts Waller allows following entities to bill medicare on her behalf.

Entity Name	Grayson And Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194772442 PECOS PAC ID: 9032108253 Enrollment ID: O20040511001342

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. Mrs Tiffany Betts Waller 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
Mrs Tiffany Betts Waller, CRNP 2200 Lakeshore Dr, Suite 150, Birmingham, AL 35209-8803 Ph: (205) 871-6926	Mrs Tiffany Betts Waller, CRNP 2200 Lakeshore Dr, Suite 150, Birmingham, AL 35209-8803 Ph: (205) 871-6926

Reviews and Comments

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Mrs Tiffany Betts Waller, CRNP - Medicare Nurse Practitioner in Birmingham, AL