Tiffany Shaughnessy, PMHNP - Medicare Nurse Practitioner in Syracuse, NY

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Tiffany Shaughnessy, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Syracuse, New York. She went to State University Of Ny Upstate Medical University and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Liberty Resources Inc and her current practice location is 1045 James St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 427-9410.

Tiffany Shaughnessy is licensed to practice in New York (license number 403602) 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 1952980518.

Contact Information

Tiffany Shaughnessy, PMHNP
1045 James St,
Syracuse, NY 13203-2730
(315) 427-9410
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Shaughnessy
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1045 James St, Syracuse, New York
Accepts Medicare AssignmentsYes. 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 Shaughnessy attended and graduated from State University Of Ny Upstate Medical University in 2021
  NPI Data:
  • NPI Number: 1952980518
  • Provider Enumeration Date: 04/02/2021
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951707900
  • Enrollment ID: I20210831001464

Medical Identifiers

Medical identifiers for Tiffany Shaughnessy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952980518NPI-NPPES
719080-1OtherNYRN LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 719080-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403602 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Liberty Resources Inc448670335248

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 Shaughnessy allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameLiberty Resources Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225254881
PECOS PAC ID: 4486703352
Enrollment ID: O20090526000025

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 Shaughnessy 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 AddressPractice Location Address
Tiffany Shaughnessy, PMHNP
1045 James St,
Syracuse, NY 13203-2730

Ph: () -		Tiffany Shaughnessy, PMHNP
1045 James St,
Syracuse, NY 13203-2730

Ph: (315) 427-9410

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.