Mrs Tiffany M Wilson, APRN in Peoria, AZ - Medicare Nurse Practitioner

Mrs Tiffany M Wilson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Arizona. Her current practice location is 20542 N Lake Pleasant Rd Ste 115, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 476-5820.

Mrs Tiffany M Wilson is licensed to practice in Arizona (license number 271375) 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 1356018204.

Contact Information

	Mrs Tiffany M Wilson, APRN
	20542 N Lake Pleasant Rd Ste 115, Peoria, AZ 85382-9749
	(623) 476-5820
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany M Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	20542 N Lake Pleasant Rd Ste 115, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356018204
Provider Enumeration Date: 08/27/2021
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6103267414
Enrollment ID: I20240516002694

Medical Identifiers

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

Identifier	Type	State	Issuer
1356018204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	271375 (Arizona)	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 Wilson allows following entities to bill medicare on her behalf.

Entity Name	Peoria Urgent Care And Walk In Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093439762 PECOS PAC ID: 1153798590 Enrollment ID: O20230503003058

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 Wilson 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 Wilson, APRN 20542 N Lake Pleasant Rd Ste 115, Peoria, AZ 85382-9749 Ph: (623) 476-5820	Mrs Tiffany M Wilson, APRN 20542 N Lake Pleasant Rd Ste 115, Peoria, AZ 85382-9749 Ph: (623) 476-5820

Reviews and Comments

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Mrs Tiffany M Wilson, APRN - Medicare Nurse Practitioner in Peoria, AZ