Tiffany Marie Fry, FNP in Gilbert, AZ - Medicare Nurse Practitioner

Tiffany Marie Fry, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Gilbert, Arizona. Her current practice location is 1727 E Pecos Rd Apt 2054, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (414) 544-1512.

Tiffany Marie Fry is licensed to practice in Arizona (license number F05240559) 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 1316787583.

Contact Information

	Tiffany Marie Fry, FNP
	1727 E Pecos Rd Apt 2054, Gilbert, AZ 85295-1868
	(414) 544-1512
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Marie Fry
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1727 E Pecos Rd Apt 2054, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316787583
Provider Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024

Medicare PECOS Information:

PECOS PAC ID: 0941745376
Enrollment ID: I20240710002321

Medical Identifiers

Medical identifiers for Tiffany Marie Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316787583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	F05240559 (Arizona)	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 Marie Fry allows following entities to bill medicare on her behalf.

Entity Name	Advanced Physical Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356680540 PECOS PAC ID: 5991942658 Enrollment ID: O20150407001403

Entity Name	Eminence Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316653579 PECOS PAC ID: 7911363908 Enrollment ID: O20230517001627

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 Marie Fry 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 Marie Fry, FNP 10233 W Ironwood Dr, Casa Grande, AZ 85194-7568 Ph: (414) 544-1512	Tiffany Marie Fry, FNP 1727 E Pecos Rd Apt 2054, Gilbert, AZ 85295-1868 Ph: (414) 544-1512

Reviews and Comments

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Tiffany Marie Fry, FNP - Medicare Nurse Practitioner in Gilbert, AZ