Tiffany Lack, APRN, FNP-BC - Medicare Nurse Practitioner in Maumelle, AR

Tiffany Lack, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Maumelle, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Maumelle Family Medicine Llc and her current practice location is 2001 Club Manor Dr Ste S, Maumelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 734-8085.

Tiffany Lack is licensed to practice in Arkansas (license number 123569) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700431723.

Contact Information

Tiffany Lack, APRN, FNP-BC
2001 Club Manor Dr Ste S,
Maumelle, AR 72113-7417
(501) 734-8085
(501) 734-8085

Map and Direction




Provider's Profile

Full NameTiffany Lack
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2001 Club Manor Dr Ste S, Maumelle, Arkansas
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Lack graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1700431723
  • Provider Enumeration Date: 08/06/2019
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779913207
  • Enrollment ID: I20200423001120

Medical Identifiers

Medical identifiers for Tiffany Lack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700431723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 123569 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maumelle Family Medicine Llc09416490732

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 Lack allows following entities to bill medicare on her behalf.
Entity NameTracy Thomas Phillips
Entity TypePractitioner - Family Practice
Entity IdentifiersNPI Number: 1679571863
PECOS PAC ID: 2163555319
Enrollment ID: I20100809000688
Entity NameNatural State Health Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912141730
PECOS PAC ID: 4082800818
Enrollment ID: O20101119000023
Entity NameMaumelle Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033969290
PECOS PAC ID: 0941649073
Enrollment ID: O20240422002230

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 Lack 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 Lack, APRN, FNP-BC
2001 Club Manor Dr Ste S,
Maumelle, AR 72113-7417

Ph: (501) 734-8085
Tiffany Lack, APRN, FNP-BC
2001 Club Manor Dr Ste S,
Maumelle, AR 72113-7417

Ph: (501) 734-8085

Reviews and Comments


Nurse Practitioner Nurses in Maumelle, AR

Mrs. Rachael Constance Curtis, APRN-CNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113
Phone: 501-851-7400    
Laura Farley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Club Manor Dr Ste 2, Maumelle, AR 72113
Phone: 501-851-7400    Fax: 501-851-4753
Mrs. Mary Ann Garnica, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22 Ouachita Dr, Maumelle, AR 72113
Phone: 918-978-9555    
Laura Nicole Stallings, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Club Manor Dr Ste S, Maumelle, AR 72113
Phone: 501-734-8085    Fax: 501-734-8088
Toronsa Mechel Simpson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19 Prince Dr, Maumelle, AR 72113
Phone: 501-319-4717    
Mrs. Elizabeth Ann Kirk, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8060 Counts Massie Rd Integrated Care Professionals, Maumelle, AR 72113
Phone: 479-968-8279    Fax: 479-250-0500
Stacy Graham,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17 Saint Thomas Dr, Maumelle, AR 72113
Phone: 501-912-2362    

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.