Tiffanee Rae Cravens, FNP-C in Draper, UT - Medicare Nurse Practitioner

Tiffanee Rae Cravens, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Draper, Utah. Her current practice location is 13894 S Bangerter Pkwy Ste 200, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 454-5027.

Tiffanee Rae Cravens is licensed to practice in Utah (license number 11122057-4405) 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 1720855927.

Contact Information

	Tiffanee Rae Cravens, FNP-C
	13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320
	(385) 454-5027
	(801) 742-8381

Map and Direction

Provider's Profile

Full Name	Tiffanee Rae Cravens
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13894 S Bangerter Pkwy Ste 200, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720855927
Provider Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6608227657
Enrollment ID: I20240104000664

Medical Identifiers

Medical identifiers for Tiffanee Rae Cravens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720855927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11122057-4405 (Utah)	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. Tiffanee Rae Cravens allows following entities to bill medicare on her behalf.

Entity Name	Gadzoom Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770187163 PECOS PAC ID: 3476954793 Enrollment ID: O20210624000883

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. Tiffanee Rae Cravens 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
Tiffanee Rae Cravens, FNP-C 716 W Sunny Ledge Dr, Washington, UT 84780-3576 Ph: () -	Tiffanee Rae Cravens, FNP-C 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 Ph: (385) 454-5027

Reviews and Comments

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Tiffanee Rae Cravens, FNP-C - Medicare Nurse Practitioner in Draper, UT