Tiffany Momoko Sparrow, PA-C is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" in Jacksonville, Florida. Her current practice location is
915 W Monroe St Ste 200, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 384-2240.
Tiffany Momoko Sparrow is licensed to practice in Florida (license number PA9116575) 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 1790401479.
Provider's Profile
Full Name | Tiffany Momoko Sparrow |
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Gender | Female |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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Location | 915 W Monroe St Ste 200, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790401479
- Provider Enumeration Date: 10/14/2022
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234570896
- Enrollment ID: I20240514001015
Medical Identifiers
Medical identifiers for Tiffany Momoko Sparrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790401479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9116575 (Florida) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA9116575 (Florida) | Primary |
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 Momoko Sparrow 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 Momoko Sparrow, PA-C 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 Ph: () - | Tiffany Momoko Sparrow, PA-C 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 Ph: (904) 384-2240 |
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