Tiffany H Holley, DNP, RN, FNP-BC in Sheboygan, WI

Tiffany H Holley, DNP, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forefront Dermatology and her current practice location is 1440 N 25th St, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 457-9100.

Tiffany H Holley is licensed to practice in Wisconsin (license number 178643) 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 1962811679.

Contact Information

	Tiffany H Holley, DNP, RN, FNP-BC
	1440 N 25th St, Sheboygan, WI 53081
	(920) 457-9100
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany H Holley
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1440 N 25th St, Sheboygan, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tiffany H Holley graduated from nursing school in 2014

NPI Data:

NPI Number: 1962811679
Provider Enumeration Date: 08/06/2014
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 3274856307
Enrollment ID: I20141222002331

Medical Identifiers

Medical identifiers for Tiffany H Holley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962811679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5911 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	178643 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology	3779471701	483

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 H Holley allows following entities to bill medicare on her behalf.

Entity Name	Group Health Cooperative Of South Central Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306

Entity Name	Forefront Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252

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 H Holley 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 H Holley, DNP, RN, FNP-BC 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Tiffany H Holley, DNP, RN, FNP-BC 1440 N 25th St, Sheboygan, WI 53081 Ph: (920) 457-9100

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Dr. Amanda Beinemann, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-459-8300
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700
Jennifer L Thickens, APNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700

Tiffany H Holley, DNP, RN, FNP-BC - Medicare Nurse Practitioner in Sheboygan, WI