Tiffany Marie Clouse, is a medicare enrolled "Social Worker - Clinical" provider in Rolla, North Dakota. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Presentation Medical Center and her current practice location is
603 5th St Ne, Rolla, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 370-2208.
Tiffany Marie Clouse is licensed to practice in North Dakota (license number 3943) 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 1770334831.
Healthcare Provider's Profile
| Full Name | Tiffany Marie Clouse |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 19 Years |
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| Location | 603 5th St Ne, Rolla, North Dakota |
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| 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 Marie Clouse graduated from medical school in 2006
NPI Data:
- NPI Number: 1770334831
- Provider Enumeration Date: 03/28/2024
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264972405
- Enrollment ID: I20240913002550
Medical Identifiers
Medical identifiers for Tiffany Marie Clouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770334831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 3943 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Presentation Medical Center | 5991764045 | 9 |
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 Marie Clouse allows following entities to bill medicare on her behalf.
| Entity Name | Presentation Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265404958 PECOS PAC ID: 5991764045 Enrollment ID: O20041005001139 |
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| Entity Name | Presentation Medical Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1265404958 PECOS PAC ID: 5991764045 Enrollment ID: O20101029001367 |
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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 Marie Clouse 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 Marie Clouse, Po Box 303, Rolla, ND 58367-0303 Ph: (701) 370-2208 | Tiffany Marie Clouse, 603 5th St Ne, Rolla, ND 58367-7329 Ph: (701) 370-2208 |
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