Ms Tiffany Sidra Taylor-mduba, APRN in Yucca Valley, CA

Ms Tiffany Sidra Taylor-mduba, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Yucca Valley, California. Her current practice location is 58375 Twentynine Palms Hwy, Suite B, Yucca Valley, California. You can reach out to her office (for appointments etc.) via phone at (760) 365-9305.

Ms Tiffany Sidra Taylor-mduba is licensed to practice in California (license number 95020695) 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 1508500760.

Contact Information

	Ms Tiffany Sidra Taylor-mduba, APRN
	58375 Twentynine Palms Hwy, Suite B, Yucca Valley, CA 92284
	(760) 365-9305
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tiffany Sidra Taylor-mduba
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	58375 Twentynine Palms Hwy, Yucca Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508500760
Provider Enumeration Date: 04/25/2022
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3274902796
Enrollment ID: I20221206000067

Medical Identifiers

Medical identifiers for Ms Tiffany Sidra Taylor-mduba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508500760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	818748 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95020695 (California)	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. Ms Tiffany Sidra Taylor-mduba allows following entities to bill medicare on her behalf.

Entity Name	Hi-desert Memorial Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841612082 PECOS PAC ID: 1254240898 Enrollment ID: O20041201001069

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. Ms Tiffany Sidra Taylor-mduba 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
Ms Tiffany Sidra Taylor-mduba, APRN 7760 Balsa Ave, Yucca Valley, CA 92284-8500 Ph: (267) 648-0351	Ms Tiffany Sidra Taylor-mduba, APRN 58375 Twentynine Palms Hwy, Suite B, Yucca Valley, CA 92284 Ph: (760) 365-9305

Reviews and Comments

Nurse Practitioner Nurses in Yucca Valley, CA

Ms. De Anna Marie Taylor, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 56612 Kismet Rd, Yucca Valley, CA 92284 Phone: 760-821-3981
Mr. Jesus Arechiga Gamboa, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6233 Pioneertown Road, Yucca Valley, CA 92284 Phone: 760-774-2739
Jasdeep Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6530 La Contenta Rd Ste 100, Yucca Valley, CA 92284 Phone: 760-820-9229 Fax: 760-820-9228
Lynna R. Young, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55585 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-228-3366 Fax: 760-228-3369
Katie Z Topper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 Phone: 760-228-1800
Ashlyn Enise Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58471 29 Palms Hwy Ste 201, Yucca Valley, CA 92284 Phone: 760-228-1114 Fax: 760-228-2066
Shirley Duncan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58375 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-365-9305 Fax: 760-365-9309

Ms Tiffany Sidra Taylor-mduba, APRN - Medicare Nurse Practitioner in Yucca Valley, CA