Mrs Tiffany Jo Archer, PA-C - Medicare Physician Assistant in Gulfport, MS

Mrs Tiffany Jo Archer, PA-C is a medicare enrolled "Physician Assistant" in Gulfport, Mississippi. Her current practice location is 5501 Marvin Shields Blvd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 871-4033.

Mrs Tiffany Jo Archer is licensed to practice in California (license number 19896) 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 1386896595.

Contact Information

Mrs Tiffany Jo Archer, PA-C
5501 Marvin Shields Blvd,
Gulfport, MS 39501-9007
(228) 871-4033
(228) 871-3344

Map and Direction




Provider's Profile

Full NameMrs Tiffany Jo Archer
GenderFemale
SpecialityPhysician Assistant
Location5501 Marvin Shields Blvd, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386896595
  • Provider Enumeration Date: 10/21/2008
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628133568
  • Enrollment ID: I20160412000239

Medical Identifiers

Medical identifiers for Mrs Tiffany Jo Archer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386896595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 15-01691 (Kansas)Secondary
363A00000XPhysician Assistant 19896 (California)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 Jo Archer 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 AddressPractice Location Address
Mrs Tiffany Jo Archer, PA-C
5016 Eagle Dr,
Gulfport, MS 39501-3702

Ph: (785) 215-1664
Mrs Tiffany Jo Archer, PA-C
5501 Marvin Shields Blvd,
Gulfport, MS 39501-9007

Ph: (228) 871-4033

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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