Tiffany E Polo, is a medicare enrolled "Nurse Practitioner" in King William, Virginia. Her current practice location is
1041 Sharon Rd, Suite 205, King William, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 746-1677.
Tiffany E Polo is licensed to practice in Virginia (license number 0024172717) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548640873.
Provider's Profile
| Full Name | Tiffany E Polo |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1041 Sharon Rd, King William, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany E Polo attended and graduated from in
NPI Data:
- NPI Number: 1548640873
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 07/16/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tiffany E Polo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548640873 | NPI | - | NPPES |
| C05698 | Other | VA | GROUP PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 0024172717 (Virginia) | 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. Tiffany E Polo 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 E Polo,
1041 Sharon Rd, Suite 205,
King William, VA 23086-3347
Ph: (804) 746-1677 | Tiffany E Polo,
1041 Sharon Rd, Suite 205,
King William, VA 23086-3347
Ph: (804) 746-1677 |
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