Tiffany Goshatt, is a
Licensed Practical Nurse based in Lathrup Village, Michigan. Tiffany Goshatt is licensed to practice in Michigan (license number 4703106260) and her current practice location is
18570 San Jose Blvd, Lathrup Village, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 799-6037.
NPI number for Tiffany Goshatt is 1447609151 and her current mailing address is 18570 San Jose Blvd, Lathrup Village, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447609151.
Provider's Profile
Full Name | Tiffany Goshatt |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 18570 San Jose Blvd, Lathrup Village, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447609151
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 06/03/2016
Medical Identifiers
Medical identifiers for Tiffany Goshatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447609151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703106260 (Michigan) | 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 Goshatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tiffany Goshatt, 18570 San Jose Blvd, Lathrup Village, MI 48076-7801 Ph: (313) 799-6037 | Tiffany Goshatt, 18570 San Jose Blvd, Lathrup Village, MI 48076-7801 Ph: (313) 799-6037 |
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