Mrs Tiffany M Pereau, APRN in Jacksonville, FL

Mrs Tiffany M Pereau, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 2 Shircliff Way Ste 600, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 387-9577.

Mrs Tiffany M Pereau is licensed to practice in Florida (license number APRN11019343) 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 1255063509.

Contact Information

	Mrs Tiffany M Pereau, APRN
	2 Shircliff Way Ste 600, Jacksonville, FL 32204-4762
	(904) 387-9577
	(904) 387-9245

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany M Pereau
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2 Shircliff Way Ste 600, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255063509
Provider Enumeration Date: 06/27/2022
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4981085941
Enrollment ID: I20220721002889

Medical Identifiers

Medical identifiers for Mrs Tiffany M Pereau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255063509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	11019343 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11019343 (Florida)	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. Mrs Tiffany M Pereau allows following entities to bill medicare on her behalf.

Entity Name	Womens Care Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078

Entity Name	Womens' Health Hospitalists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354

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 M Pereau 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 M Pereau, APRN Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033	Mrs Tiffany M Pereau, APRN 2 Shircliff Way Ste 600, Jacksonville, FL 32204-4762 Ph: (904) 387-9577

Reviews and Comments

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Mrs Tiffany M Pereau, APRN - Medicare Nurse Practitioner in Jacksonville, FL