Tiffany Kennedy, APRN is a medicare enrolled "Nurse Practitioner - Family" in Richburg, South Carolina. 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 Piedmont Physician Network Llc and her current practice location is
3248 Edgeland Hwy, Richburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 789-6111.
Tiffany Kennedy is licensed to practice in South Carolina (license number 19284) 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 1275923260.
Provider's Profile
| Full Name | Tiffany Kennedy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 3248 Edgeland Hwy, Richburg, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany Kennedy graduated from nursing school in 2014
NPI Data:
- NPI Number: 1275923260
- Provider Enumeration Date: 01/28/2015
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496018806
- Enrollment ID: I20180418000740
Medical Identifiers
Medical identifiers for Tiffany Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275923260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 19284 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Piedmont Physician Network Llc | 7911287552 | 96 |
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 Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Physician Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194277186
PECOS PAC ID: 7911287552
Enrollment ID: O20161216001613 |
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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 Kennedy 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 |
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Tiffany Kennedy, APRN
2139 Brookfield Ln,
Lancaster, SC 29720-8872
Ph: () - | Tiffany Kennedy, APRN
3248 Edgeland Hwy,
Richburg, SC 29729-9478
Ph: (803) 789-6111 |
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