Tiffanny M Connolly, PA-C in Peoria, IL - Medicare Physician Assistant

Tiffanny M Connolly, PA-C is a medicare enrolled "Physician Assistant" in Peoria, Illinois. Her current practice location is 427 W Northmoor Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-5337.

Tiffanny M Connolly is licensed to practice in Illinois (license number 385002364) 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 1346560497.

Contact Information

	Tiffanny M Connolly, PA-C
	427 W Northmoor Rd, Peoria, IL 61614-3542
	(309) 692-5337
	(309) 693-3913

Map and Direction

Provider's Profile

Full Name	Tiffanny M Connolly
Gender	Female
Speciality	Physician Assistant
Location	427 W Northmoor Rd, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346560497
Provider Enumeration Date: 06/10/2010
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6709918741
Enrollment ID: I20100709000678

Medical Identifiers

Medical identifiers for Tiffanny M Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346560497	NPI	-	NPPES
F400773279	Other	IL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	385002364 (Illinois)	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. Tiffanny M Connolly 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
Tiffanny M Connolly, PA-C 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337	Tiffanny M Connolly, PA-C 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337

Reviews and Comments

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Tiffanny M Connolly, PA-C - Medicare Physician Assistant in Peoria, IL