Tiffany Ann Tackett, FNP in Rockwall, TX - Medicare Nurse Practitioner

Tiffany Ann Tackett, FNP is a medicare enrolled "Nurse Practitioner" in Rockwall, Texas. Her current practice location is 6701 Heritage Pkwy Ste 165, Rockwall, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 786-5890.

Tiffany Ann Tackett is licensed to practice in Texas (license number 957191) 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 1295388486.

Contact Information

	Tiffany Ann Tackett, FNP
	6701 Heritage Pkwy Ste 165, Rockwall, TX 75087-8700
	(469) 786-5890
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Ann Tackett
Gender	Female
Speciality	Nurse Practitioner
Location	6701 Heritage Pkwy Ste 165, Rockwall, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295388486
Provider Enumeration Date: 07/17/2019
Last Update Date: 03/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7618306259
Enrollment ID: I20200402003551

Medical Identifiers

Medical identifiers for Tiffany Ann Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295388486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	957191 (Texas)	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 Ann Tackett allows following entities to bill medicare on her behalf.

Entity Name	Syed Mansoor Hussaini Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053776856 PECOS PAC ID: 8224333406 Enrollment ID: O20160506001485

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 Ann Tackett 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 Ann Tackett, FNP 6701 Heritage Pkwy Ste 165, Rockwall, TX 75087-8700 Ph: (469) 786-5890	Tiffany Ann Tackett, FNP 6701 Heritage Pkwy Ste 165, Rockwall, TX 75087-8700 Ph: (469) 786-5890

Reviews and Comments

Nurse Practitioner Nurses in Rockwall, TX

Sarah Holdman, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1721 Plummer Dr, Rockwall, TX 75087 Phone: 469-323-1367
Tonda Bailey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph Hall Pkwy Ste 221, Rockwall, TX 75032 Phone: 972-772-5450 Fax: 972-772-5452
Mrs. Lisa Jayne Gauvin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3142 Horizon Rd Ste 100, Rockwall, TX 75032 Phone: 817-442-9300 Fax: 844-358-4178
Mrs. Kisha Lashun Chance, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1043 Starlight Pl, Rockwall, TX 75087 Phone: 214-668-6505
Mrs. Tamela Kuhnell, MSN, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3150 Horizon Rd, Rockwall, TX 75032 Phone: 214-343-6663 Fax: 214-343-2814
Terri Lea Noel, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph M Hall Pkwy, Suite 201, Rockwall, TX 75032 Phone: 972-771-9081 Fax: 972-771-7102
Faheemah Hannah, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 S First St, Ste B, Rockwall, TX 75087 Phone: 972-772-8194 Fax: 972-772-8175

Tiffany Ann Tackett, FNP - Medicare Nurse Practitioner in Rockwall, TX