Tiffany R Dicenso, FNP in Virginia Beach, VA - Medicare Nurse Practitioner

Tiffany R Dicenso, FNP is a medicare enrolled "Nurse Practitioner - Family" in Virginia Beach, Virginia. Her current practice location is 802 North Newtown Rd, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 497-0606.

Tiffany R Dicenso is licensed to practice in Virginia (license number 0001198851) 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 1124321120.

Contact Information

	Tiffany R Dicenso, FNP
	802 North Newtown Rd, Virginia Beach, VA 23462-1116
	(757) 497-0606
	(757) 497-0411

Map and Direction

Provider's Profile

Full Name	Tiffany R Dicenso
Gender	Female
Speciality	Nurse Practitioner - Family
Location	802 North Newtown Rd, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124321120
Provider Enumeration Date: 12/13/2010
Last Update Date: 12/13/2010

Medicare PECOS Information:

PECOS PAC ID: 1951541341
Enrollment ID: I20130708000679

Medical Identifiers

Medical identifiers for Tiffany R Dicenso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124321120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0001198851 (Virginia)	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 R Dicenso allows following entities to bill medicare on her behalf.

Entity Name	Tidewater Integrative Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710293212 PECOS PAC ID: 5890810501 Enrollment ID: O20100918000118

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 R Dicenso 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 R Dicenso, FNP 802 North Newtown Rd, Virginia Beach, VA 23462-1116 Ph: (757) 497-0606	Tiffany R Dicenso, FNP 802 North Newtown Rd, Virginia Beach, VA 23462-1116 Ph: (757) 497-0606

Reviews and Comments

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Tiffany R Dicenso, FNP - Medicare Nurse Practitioner in Virginia Beach, VA