Tiffany Priddy, LPCC in Campbellsville, KY - Medicare Counselor Provider

Tiffany Priddy, LPCC is a medicare enrolled "Counselor - Professional" provider in Campbellsville, Kentucky. Her current practice location is 102 Winston Way, Campbellsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 789-0034.

Tiffany Priddy is licensed to practice in Kentucky (license number LPCPCC00218310) 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 1477992766.

Contact Information

	Tiffany Priddy, LPCC
	102 Winston Way, Campbellsville, KY 42718-4990
	(270) 789-0034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Priddy
Gender	Female
Speciality	Counselor - Professional
Location	102 Winston Way, Campbellsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477992766
Provider Enumeration Date: 06/19/2013
Last Update Date: 07/29/2021

Medicare PECOS Information:

PECOS PAC ID: 2365819885
Enrollment ID: I20240119002669

Medical Identifiers

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

Identifier	Type	State	Issuer
1477992766	NPI	-	NPPES
610661458	Other	KY	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.1600041 (Ohio)	Secondary
101YP2500X	Counselor - Professional	LPCPCC00218310 (Kentucky)	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 Priddy allows following entities to bill medicare on her behalf.

Entity Name	Breath Of Grace Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003550575 PECOS PAC ID: 5799152591 Enrollment ID: O20221108002488

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 Priddy 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 Priddy, LPCC 404 Public Sq, Columbia, KY 42728-1458 Ph: (270) 634-0841	Tiffany Priddy, LPCC 102 Winston Way, Campbellsville, KY 42718-4990 Ph: (270) 789-0034

Reviews and Comments

Counselor in Campbellsville, KY

Ms. Bridget Louise Hahn Southwood, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768
Hailee Corbin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Watertower Byp, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 270-465-7993
Ruby Colvin, MHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424
Wanda Washington, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Watertower Bypass, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 606-678-5296
Leletha Darlene Conover, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768
Debra De La Garza, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 Quail Ridge Rd, Campbellsville, KY 42718 Phone: 270-505-2665
Ginger Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424

Tiffany Priddy, LPCC - Medicare Counselor in Campbellsville, KY