Dr Tiffany Alisha Nickie-hull, PSYD, LMHC is a medicare enrolled "Clinical Neuropsychologist" provider in Massillon, Ohio. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Medoptions Of Ohio Llc, Meditelecare Of Iowa Pllc, Meditelecare Of Rhode Island Llc, Meditelecare Of Virginia Llc and her current practice location is
3725 Tillman St Nw, Massillon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 570-1741.
Dr Tiffany Alisha Nickie-hull is licensed to practice in Rhode Island (license number PS02013) 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 1457503534.
Healthcare Provider's Profile
| Full Name | Dr Tiffany Alisha Nickie-hull |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 20 Years |
|---|
| Location | 3725 Tillman St Nw, Massillon, Ohio |
|---|
| 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:
- Dr Tiffany Alisha Nickie-hull graduated from medical school in 2005
NPI Data:
- NPI Number: 1457503534
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719268374
- Enrollment ID: I20161220001150
Medical Identifiers
Medical identifiers for Dr Tiffany Alisha Nickie-hull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457503534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY7767 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6970 (Ohio) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS02013 (Rhode Island) | Primary |
| 101YM0800X | Counselor - Mental Health | MH7720 (Florida) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medoptions Of Ohio Llc | 5799064515 | 3 |
| Meditelecare Of Iowa Pllc | 0446512503 | 5 |
| Meditelecare Of Rhode Island Llc | 4385053131 | 5 |
| Meditelecare Of Virginia Llc | 2163785973 | 5 |
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. Dr Tiffany Alisha Nickie-hull allows following entities to bill medicare on her behalf.
| Entity Name | Medoptions Of Ohio Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629428974
PECOS PAC ID: 5799064515
Enrollment ID: O20161118002047 |
|---|
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. Dr Tiffany Alisha Nickie-hull 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 |
|---|
Dr Tiffany Alisha Nickie-hull, PSYD, LMHC
3725 Tillman St Nw,
Massillon, OH 44646-3227
Ph: (216) 570-1741 | Dr Tiffany Alisha Nickie-hull, PSYD, LMHC
3725 Tillman St Nw,
Massillon, OH 44646-3227
Ph: (216) 570-1741 |
Reviews and Comments