Tiffani Boots, is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. Her current practice location is
1133 Lincoln Ave, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 491-2615.
Tiffani Boots is licensed to practice in Indiana (license number 34011063A) 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 1548849151.
Healthcare Provider's Profile
Full Name | Tiffani Boots |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1133 Lincoln Ave, Evansville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548849151
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890229967
- Enrollment ID: I20241112002080
Medical Identifiers
Medical identifiers for Tiffani Boots such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548849151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001795A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34011063A (Indiana) | 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. Tiffani Boots allows following entities to bill medicare on her behalf.
Entity Name | Counseling For Change Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538465349 PECOS PAC ID: 3375728561 Enrollment ID: O20110504000053 |
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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. Tiffani Boots 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 |
Tiffani Boots, Po Box 3117, Evansville, IN 47730-3117 Ph: () - | Tiffani Boots, 1133 Lincoln Ave, Evansville, IN 47714-1028 Ph: (812) 491-2615 |
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