Tiffany Crystal Cordova, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Elmira, Oregon. Her current practice location is 
24934 Fir Grove Ln, Elmira, Oregon. You can reach out to her office (for appointments etc.) via phone at 
(541) 234-3255.
Tiffany Crystal Cordova is licensed to practice in Oregon (license number L11027) 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 1679888366.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Tiffany Crystal Cordova | 
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| Gender | Female | 
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| Speciality | Social Worker - Clinical | 
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| Location | 24934 Fir Grove Ln, Elmira, Oregon | 
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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: 1679888366
 - Provider Enumeration Date: 08/18/2010
 - Last Update Date: 09/30/2025
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 9931630738
 - Enrollment ID: I20241003003342
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Tiffany Crystal Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1679888366 | NPI | - | NPPES | 
| 500681069 | Medicaid | OR |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  |  (* (Not Available)) | Secondary | 
| 1041C0700X | Social Worker - Clinical  | L11027 (Oregon) | 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 Crystal Cordova allows following entities to bill medicare on her behalf.
| Entity Name | Orchid Oakridge Clinic Pc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1588088983 PECOS PAC ID: 3476786609 Enrollment ID: O20140612000318 | 
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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 Crystal Cordova 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 Crystal Cordova, LCSW 24934 Fir Grove Ln, Elmira, OR 97437-9751 Ph: (541) 234-3255 | Tiffany Crystal Cordova, LCSW 24934 Fir Grove Ln, Elmira, OR 97437-9751 Ph: (541) 234-3255 | 
		
		 
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