Tiffany S Basham, in Fort Knox, KY - Medicare Nurse Practitioner

Tiffany S Basham, is a medicare enrolled "Nurse Practitioner - Family" in Fort Knox, Kentucky. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Michael K Lloyd Md Inc and her current practice location is 200 Brule Street, Fort Knox, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 626-9681.

Tiffany S Basham is licensed to practice in California (license number 95015563) 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 1891188702.

Contact Information

	Tiffany S Basham,
	200 Brule Street, Fort Knox, KY 40121
	(502) 626-9681
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany S Basham
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	200 Brule Street, Fort Knox, Kentucky
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:

Tiffany S Basham graduated from nursing school in 2016

NPI Data:

NPI Number: 1891188702
Provider Enumeration Date: 03/17/2015
Last Update Date: 10/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7517381403
Enrollment ID: I20201118003233

Medical Identifiers

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

Identifier	Type	State	Issuer
1891188702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3011255 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	APN0000019657 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	95015563 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Hanford	Hanford, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Michael K Lloyd Md Inc	7517115306	4

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 S Basham allows following entities to bill medicare on her behalf.

Entity Name	Michael K Lloyd Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740537851 PECOS PAC ID: 7517115306 Enrollment ID: O20120920000313

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 S Basham 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 S Basham, 460 Greenfield Ave Ste 3, Hanford, CA 93230-3500 Ph: (559) 584-5770	Tiffany S Basham, 200 Brule Street, Fort Knox, KY 40121 Ph: (502) 626-9681

Reviews and Comments

Nurse Practitioner Nurses in Fort Knox, KY

Mrs. Dana Ona Jenkinson, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9414
Mrs. Kathleen W Robbins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-0528 Fax: 502-624-0481
Laurel Alexander Darhali, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 270-735-7702
Mary Ames, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9794
Mrs. Nancy Diane Derosa, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9007
Suzanne Elise Laux, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 328 3rd Ave, Fort Knox, KY 40121 Phone: 502-624-1753
Dayna Ray, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Brule St, Fort Knox, KY 40121 Phone: 502-626-9669 Fax: 502-626-9957

Tiffany S Basham, - Medicare Nurse Practitioner in Fort Knox, KY