Dr Tiffany L Bolden-watkins, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Waycross, Georgia. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice East Jefferson Physicians Group Llc and her current practice location is
505 City Blvd, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 490-2229.
Dr Tiffany L Bolden-watkins is licensed to practice in Georgia (license number 69677) 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 1982845897.
Physician's Profile
| Full Name | Dr Tiffany L Bolden-watkins |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 17 Years |
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| Location | 505 City Blvd, Waycross, Georgia |
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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:
- Dr Tiffany L Bolden-watkins graduated from medical school in 2009
NPI Data:
- NPI Number: 1982845897
- Provider Enumeration Date: 03/23/2009
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648404012
- Enrollment ID: I20230504003296
Medical Identifiers
Medical identifiers for Dr Tiffany L Bolden-watkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982845897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 302780 (New York) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD.206395 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 69677 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| East Jefferson Physicians Group Llc | 4587660402 | 190 |
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. Dr Tiffany L Bolden-watkins allows following entities to bill medicare on her behalf.
| Entity Name | East Jefferson Physicians Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922293372
PECOS PAC ID: 4587660402
Enrollment ID: O20090127000299 |
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| Entity Name | Dhp Of Louisiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013303056
PECOS PAC ID: 1658683701
Enrollment ID: O20150702001875 |
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| Entity Name | Obhg Louisiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639567316
PECOS PAC ID: 9234443250
Enrollment ID: O20150805006718 |
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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. Dr Tiffany L Bolden-watkins 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 |
|---|
Dr Tiffany L Bolden-watkins, MD
505 City Blvd,
Waycross, GA 31501-8003
Ph: (912) 490-2229 | Dr Tiffany L Bolden-watkins, MD
505 City Blvd,
Waycross, GA 31501-8003
Ph: (912) 490-2229 |
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