Tiffany R Pottkotter, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Upper Sandusky, Ohio. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wyandot Memorial Hospital and her current practice location is
885 N Sandusky Ave, Upper Sandusky, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 294-4991.
Tiffany R Pottkotter is licensed to practice in Ohio (license number APRN.CNP.16281) 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 1629271150.
Healthcare Provider's Profile
| Full Name | Tiffany R Pottkotter |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 885 N Sandusky Ave, Upper Sandusky, Ohio |
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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. |
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Medical Education and Training:
- Tiffany R Pottkotter graduated from medical school in 2014
NPI Data:
- NPI Number: 1629271150
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092031088
- Enrollment ID: I20150310002524
Medical Identifiers
Medical identifiers for Tiffany R Pottkotter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629271150 | NPI | - | NPPES |
| 0111791 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | C0500689 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | COA16281NP (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | COA16281-NP (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.16281 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wyandot Memorial Hospital | 1557340189 | 64 |
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 R Pottkotter allows following entities to bill medicare on her behalf.
| Entity Name | Wyandot Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477554475
PECOS PAC ID: 1557340189
Enrollment ID: O20040716001163 |
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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 R Pottkotter 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 |
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Tiffany R Pottkotter, CNP
885 N Sandusky Ave,
Upper Sandusky, OH 43351-1098
Ph: (419) 294-4991 | Tiffany R Pottkotter, CNP
885 N Sandusky Ave,
Upper Sandusky, OH 43351-1098
Ph: (419) 294-4991 |
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