Mrs Tiffany Jane Tanner, PA-C is a medicare enrolled "Physician Assistant" in Basin, Wyoming. Her current practice location is
525 North 5th Street, Basin, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 568-3700.
Mrs Tiffany Jane Tanner is licensed to practice in Wyoming (license number PA1142) 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 1902131980.
Provider's Profile
| Full Name | Mrs Tiffany Jane Tanner |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 525 North 5th Street, Basin, Wyoming |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1902131980
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941338784
- Enrollment ID: I20100514000469
Medical Identifiers
Medical identifiers for Mrs Tiffany Jane Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902131980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA1142 (Wyoming) | 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. Mrs Tiffany Jane Tanner 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 Jane Tanner, PA-C
525 North 5th Street,
Basin, WY 82410
Ph: (307) 568-3700 | Mrs Tiffany Jane Tanner, PA-C
525 North 5th Street,
Basin, WY 82410
Ph: (307) 568-3700 |
Reviews and Comments