Tiffany Amber Richardson, WHNP-BC in Lafayette, IN

Tiffany Amber Richardson, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Lafayette, Indiana. Her current practice location is 2316 South St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 742-1567.

Tiffany Amber Richardson is licensed to practice in Indiana (license number 71012889A) 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 1386378230.

Contact Information

	Tiffany Amber Richardson, WHNP-BC
	2316 South St, Lafayette, IN 47904-2971
	(765) 742-1567
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Amber Richardson
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	2316 South St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386378230
Provider Enumeration Date: 07/14/2022
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4688057169
Enrollment ID: I20220816002155

Medical Identifiers

Medical identifiers for Tiffany Amber Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386378230	NPI	-	NPPES
71012889A	Other	IN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	71012889A (Indiana)	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. Tiffany Amber Richardson allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Tiffany Amber Richardson 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
Tiffany Amber Richardson, WHNP-BC 1716 Hartford St, Lafayette, IN 47904-2138 Ph: (765) 742-1567	Tiffany Amber Richardson, WHNP-BC 2316 South St, Lafayette, IN 47904-2971 Ph: (765) 742-1567

Reviews and Comments

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Tiffany Amber Richardson, WHNP-BC - Medicare Nurse Practitioner in Lafayette, IN