Tiffany Josephine Mattis-pabifio, is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" in Stony Brook, New York. Her current practice location is
101 Nicolls Rd, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 444-3655.
Tiffany Josephine Mattis-pabifio is licensed to practice in New York (license number 344081) 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 1578029252.
Provider's Profile
| Full Name | Tiffany Josephine Mattis-pabifio |
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| Gender | Female |
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| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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| Location | 101 Nicolls Rd, Stony Brook, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578029252
- Provider Enumeration Date: 02/18/2019
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153727375
- Enrollment ID: I20210913002761
Medical Identifiers
Medical identifiers for Tiffany Josephine Mattis-pabifio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578029252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 344081 (New York) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 344081 (New York) | 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 Josephine Mattis-pabifio allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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 Josephine Mattis-pabifio 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 Josephine Mattis-pabifio,
321 Crossways Park Dr Ste C,
Woodbury, NY 11797-2066
Ph: (516) 405-7100 | Tiffany Josephine Mattis-pabifio,
101 Nicolls Rd,
Stony Brook, NY 11794-1358
Ph: (631) 444-3655 |
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