Dr Tiffany Brook Reavis, DO - Medicare Surgery in Brooklyn, NY

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Dr Tiffany Brook Reavis, DO is a medicare enrolled "Surgery - Trauma Surgery" physician in Brooklyn, New York. Her current practice location is 150 55th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (909) 636-6497.

Dr Tiffany Brook Reavis is licensed to practice in New York (license number 259626) 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 1952607251.

Contact Information

Dr Tiffany Brook Reavis, DO
150 55th St,
Brooklyn, NY 11220-2508
(909) 636-6497
Not Available

Map and Direction




Physician's Profile

Full NameDr Tiffany Brook Reavis
GenderFemale
SpecialitySurgery - Trauma Surgery
Location150 55th St, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952607251
  • Provider Enumeration Date: 02/03/2011
  • Last Update Date: 09/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2567611783
  • Enrollment ID: I20150407001047

Medical Identifiers

Medical identifiers for Dr Tiffany Brook Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952607251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 259626 (New York)Secondary
2082S0105XPlastic Surgery - Surgery Of The Hand 259626 (New York)Secondary
2086S0127XSurgery - Trauma Surgery 259626 (New York)Primary
208600000XSurgery 005932 (Arizona)Secondary
2086S0127XSurgery - Trauma Surgery 005932 (Arizona)Secondary
208200000XPlastic Surgery OP 60329393 (Washington)Secondary
208600000XSurgery OP 60329393 (Washington)Secondary
208600000XSurgery OS 12793 (Florida)Secondary
208200000XPlastic Surgery OS 12793 (Florida)Secondary
2086S0127XSurgery - Trauma Surgery OS 12793 (Florida)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. Dr Tiffany Brook Reavis allows following entities to bill medicare on her behalf.
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245569870
PECOS PAC ID: 3678602802
Enrollment ID: O20100908000056

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 Brook Reavis 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
Dr Tiffany Brook Reavis, DO
150 55th St,
Brooklyn, NY 11220-2508

Ph: (909) 636-6497		Dr Tiffany Brook Reavis, DO
150 55th St,
Brooklyn, NY 11220-2508

Ph: (909) 636-6497

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.