Tiffany Lynne Boan, FNP is a medicare enrolled "Nurse Practitioner" in Mount Pleasant, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is
8560 Cook St, Mount Pleasant, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 436-6521.
Tiffany Lynne Boan is licensed to practice in North Carolina (license number 5000948) 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 1780672451.
Provider's Profile
| Full Name | Tiffany Lynne Boan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 8560 Cook St, Mount Pleasant, North 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 Lynne Boan attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2005
NPI Data:
- NPI Number: 1780672451
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375566441
- Enrollment ID: I20060104000831
Medical Identifiers
Medical identifiers for Tiffany Lynne Boan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780672451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5000948 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolinas Physicians Network Inc | 3375449655 | 1649 |
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 Lynne Boan allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455 |
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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 Lynne Boan 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 Lynne Boan, FNP
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Tiffany Lynne Boan, FNP
8560 Cook St,
Mount Pleasant, NC 28124-7686
Ph: (704) 436-6521 |
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