Tiffany Hines, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Warsaw, Indiana. Her current practice location is
2101 Dubois Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 267-3200.
Tiffany Hines is licensed to practice in Tennessee (license number APN0000026307) 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 1134605488.
Provider's Profile
Full Name | Tiffany Hines |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 2101 Dubois Dr, Warsaw, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134605488
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658611850
- Enrollment ID: I20191211000827
Medical Identifiers
Medical identifiers for Tiffany Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134605488 | NPI | - | NPPES |
214881 | Other | IL | MEDICAL GROUP PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 209021012 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28246760A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN0000026307 (Tennessee) | 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 Hines allows following entities to bill medicare on her behalf.
Entity Name | East Memphis Anesthesia Services Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578592663 PECOS PAC ID: 1850386038 Enrollment ID: O20040416001400 |
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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 Hines 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 Hines, 5185 Guffin Rd, Bartlett, TN 38135-6189 Ph: (404) 980-6000 | Tiffany Hines, 2101 Dubois Dr, Warsaw, IN 46580-3210 Ph: (574) 267-3200 |
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