Tiffany Hicks Gardner, APRN in Carbondale, IL

Tiffany Hicks Gardner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Carbondale, Illinois. Her current practice location is 1155 Cedar Ct, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 490-1045.

Tiffany Hicks Gardner is licensed to practice in Illinois (license number 209017781) 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 1457823056.

Contact Information

	Tiffany Hicks Gardner, APRN
	1155 Cedar Ct, Carbondale, IL 62901-5333
	(618) 490-1045
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Hicks Gardner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1155 Cedar Ct, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457823056
Provider Enumeration Date: 12/19/2018
Last Update Date: 12/19/2018

Medicare PECOS Information:

PECOS PAC ID: 2961888508
Enrollment ID: I20221004003795

Medical Identifiers

Medical identifiers for Tiffany Hicks Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457823056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209017781 (Illinois)	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 Hicks Gardner allows following entities to bill medicare on her behalf.

Entity Name	Ferrell Hospital Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256

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 Hicks Gardner 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 Hicks Gardner, APRN Po Box 423, Carrier Mills, IL 62917-0423 Ph: (618) 499-2307	Tiffany Hicks Gardner, APRN 1155 Cedar Ct, Carbondale, IL 62901-5333 Ph: (618) 490-1045

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045

Tiffany Hicks Gardner, APRN - Medicare Nurse Practitioner in Carbondale, IL