Tiffany Lynn Born, PHD in De Pere, WI - Medicare Psychologist Provider

Tiffany Lynn Born, PHD is a medicare enrolled "Psychologist" provider in De Pere, Wisconsin. Her current practice location is 555 Redbird Cir Ste 100, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 338-6830.

Tiffany Lynn Born is licensed to practice in Wisconsin (license number 3514-57) 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 1023498649.

Contact Information

	Tiffany Lynn Born, PHD
	555 Redbird Cir Ste 100, De Pere, WI 54115-7978
	(920) 338-6830
	(920) 445-7289

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Lynn Born
Gender	Female
Speciality	Psychologist
Location	555 Redbird Cir Ste 100, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023498649
Provider Enumeration Date: 06/09/2015
Last Update Date: 02/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6406122217
Enrollment ID: I20171023002995

Medical Identifiers

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

Identifier	Type	State	Issuer
1023498649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3514-57 (Wisconsin)	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 Lynn Born allows following entities to bill medicare on her behalf.

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

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 Lynn Born 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 Lynn Born, PHD 301 E Saint Joseph St, Green Bay, WI 54301-2241 Ph: (920) 445-7226	Tiffany Lynn Born, PHD 555 Redbird Cir Ste 100, De Pere, WI 54115-7978 Ph: (920) 338-6830

Reviews and Comments

Psychologist in De Pere, WI

Kaitlyn Rikke Stollberg, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1271 Crown Ct, De Pere, WI 54115 Phone: 920-327-3416
Mr. Charles G Groves, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270
Mason Vanrossum, LPC-IT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Third Street, De Pere, WI 54115 Phone: 920-403-3266
Dr. Kurt Andrew Weber, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Grant St, St. Norbert College, De Pere, WI 54115 Phone: 920-403-3266 Fax: 920-403-3099
Marilyn Elizabeth Bohatkiewicz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Dickinson Rd Unit 4, Suite B, De Pere, WI 54115 Phone: 920-347-3500 Fax: 920-347-3501

Tiffany Lynn Born, PHD - Medicare Psychologist in De Pere, WI