Tiffany Willenberg, MSN, APRN, AGNP-C in Little Rock, AR

Tiffany Willenberg, MSN, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Little Rock, Arkansas. Her current practice location is 200 River Market Ave Ste 100, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 492-0099.

Tiffany Willenberg is licensed to practice in Arkansas (license number 212640) 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 1093573032.

Contact Information

	Tiffany Willenberg, MSN, APRN, AGNP-C
	200 River Market Ave Ste 100, Little Rock, AR 72201-1762
	(501) 492-0099
	(479) 968-1673

Map and Direction

Provider's Profile

Full Name	Tiffany Willenberg
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	200 River Market Ave Ste 100, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093573032
Provider Enumeration Date: 03/12/2024
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0648618991
Enrollment ID: I20240404003605

Medical Identifiers

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

Identifier	Type	State	Issuer
1093573032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	212640 (Arkansas)	Primary
363LG0600X	Nurse Practitioner - Gerontology	212640 (Arkansas)	Secondary

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 Willenberg allows following entities to bill medicare on her behalf.

Entity Name	Integrated Care Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016

Entity Name	Icp Arkansas Aco Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681

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 Willenberg 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 Willenberg, MSN, APRN, AGNP-C Po Box 9178, Russellville, AR 72811-9178 Ph: (855) 498-6767	Tiffany Willenberg, MSN, APRN, AGNP-C 200 River Market Ave Ste 100, Little Rock, AR 72201-1762 Ph: (501) 492-0099

Reviews and Comments

Nurse Practitioner Nurses in Little Rock, AR

Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000
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Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Tiffany Willenberg, MSN, APRN, AGNP-C - Medicare Nurse Practitioner in Little Rock, AR