Tiffany Moore Dewitt, CRNA in Concord, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Tiffany Moore Dewitt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Chs Anesthesia Services Group Inc and her current practice location is 920 Church St N, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-3000.

Tiffany Moore Dewitt is licensed to practice in North Carolina (license number 186952) 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 1376849786.

Contact Information

	Tiffany Moore Dewitt, CRNA
	920 Church St N, Concord, NC 28025-2927
	(704) 403-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Moore Dewitt
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	920 Church St N, Concord, North Carolina
Accepts Medicare Assignments	Yes. 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 Moore Dewitt graduated from nursing school in 2010

NPI Data:

NPI Number: 1376849786
Provider Enumeration Date: 02/02/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8325298870
Enrollment ID: I20121018000748

Medical Identifiers

Medical identifiers for Tiffany Moore Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376849786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	186952 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chs Anesthesia Services Group Inc	5799007324	561

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 Moore Dewitt allows following entities to bill medicare on her behalf.

Entity Name	The Presbyterian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487626933 PECOS PAC ID: 1153231907 Enrollment ID: O20031126000588

Entity Name	Novant Health Rowan Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

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 Moore Dewitt 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 Moore Dewitt, CRNA 5025 Airport Center Pkwy Bldg L, Charlotte, NC 28208-5885 Ph: (704) 512-7105	Tiffany Moore Dewitt, CRNA 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000
Justice L Edmond, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mary Jean Detchemendy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 Fax: 704-783-2527
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527
Janet Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235

Tiffany Moore Dewitt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Concord, NC