Tiffany Leah Clack, MSN-ANP - Medicare Nurse Practitioner in Dallas, TX

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Tiffany Leah Clack, MSN-ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Dallas, Texas. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthtexas Provider Network, Legacy Healthcare Services Inc and her current practice location is 712 N. Washington Ave, Suite 415, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 820-9115.

Tiffany Leah Clack is licensed to practice in Texas (license number 765246) 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 1376817221.

Contact Information

Tiffany Leah Clack, MSN-ANP
712 N. Washington Ave, Suite 415,
Dallas, TX 75246-1800
(214) 820-9115
(214) 820-9135

Map and Direction




Provider's Profile

Full NameTiffany Leah Clack
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location712 N. Washington Ave, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Leah Clack graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1376817221
  • Provider Enumeration Date: 02/23/2012
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527229632
  • Enrollment ID: I20120417000865

Medical Identifiers

Medical identifiers for Tiffany Leah Clack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376817221NPI-NPPES
294800201MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 765246 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of DallasSherman, TXHome health agency
Encompass Health Home HealthAllen, TXHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542101844
Legacy Healthcare Services Inc21633397223341

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 Leah Clack allows following entities to bill medicare on her behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187

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 Leah Clack 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 Leah Clack, MSN-ANP
712 N Washington Ave, Suite 415,
Dallas, TX 75246-1619

Ph: (214) 820-9115		Tiffany Leah Clack, MSN-ANP
712 N. Washington Ave, Suite 415,
Dallas, TX 75246-1800

Ph: (214) 820-9115

Reviews and Comments


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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.