Tiffany Hosp, NP - Medicare Nurse Practitioner in Waterloo, IL

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Tiffany Hosp, NP is a medicare enrolled "Nurse Practitioner" in Waterloo, Illinois. Her current practice location is 907 N Illinois Route 3, Waterloo, Illinois. You can reach out to her office (for appointments etc.) via phone at (313) 948-3055.

Tiffany Hosp is licensed to practice in Illinois (license number 209027100) 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 1356037592.

Contact Information

Tiffany Hosp, NP
907 N Illinois Route 3,
Waterloo, IL 62298-1074
(313) 948-3055
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Hosp
GenderFemale
SpecialityNurse Practitioner
Location907 N Illinois Route 3, Waterloo, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356037592
  • Provider Enumeration Date: 04/12/2023
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961867858
  • Enrollment ID: I20230427003069

Medical Identifiers

Medical identifiers for Tiffany Hosp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356037592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209027100 (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 Hosp allows following entities to bill medicare on her behalf.
Entity NameGranite City Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659861953
PECOS PAC ID: 1951658285
Enrollment ID: O20180718001473
Entity NameBelleville Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225694946
PECOS PAC ID: 4183050362
Enrollment ID: O20200213000608
Entity NameWaterloo Urgent Care Walk In Clinic Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508471418
PECOS PAC ID: 3971911009
Enrollment ID: O20210409000649
Entity NameAlton Urgent Care Walk In Clinic Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013521343
PECOS PAC ID: 2961810890
Enrollment ID: O20210414001646
Entity NameWood River Urgent Care And Walk In Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427717438
PECOS PAC ID: 3173917788
Enrollment ID: O20220224002310

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 Hosp 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 AddressPractice Location Address
Tiffany Hosp, NP
14671 Telegraph Rd,
Redford, MI 48239-3300

Ph: (313) 948-3055		Tiffany Hosp, NP
907 N Illinois Route 3,
Waterloo, IL 62298-1074

Ph: (313) 948-3055

Reviews and Comments


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Practice Location: 509 Hamacher St, Suite 103, Waterloo, IL 62298
Phone: 618-939-2273    Fax: 618-939-0245

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.