Tiffany O'connell, LPN is a
Licensed Practical Nurse based in Martinez, California. Tiffany O'connell is licensed to practice in South Dakota (license number P011922) and her current practice location is
150 Muir Rd, Martinez, California. She can be reached at her office (for appointments etc.) via phone at
(925) 372-2000.
NPI number for Tiffany O'connell is 1265803860 and her current mailing address is 1713 Herman St, Rapid City, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265803860.
Provider's Profile
Full Name | Tiffany O'connell |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 150 Muir Rd, Martinez, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265803860
- Provider Enumeration Date: 10/08/2015
- Last Update Date: 10/08/2015
Medical Identifiers
Medical identifiers for Tiffany O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265803860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P011922 (South Dakota) | 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 O'connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tiffany O'connell, LPN 1713 Herman St, Rapid City, SD 57701 Ph: (770) 238-2102 | Tiffany O'connell, LPN 150 Muir Rd, Martinez, CA 94553 Ph: (925) 372-2000 |
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