Dr Tiphany Alexandrea Jolly, MD - Medicare Emergency Medicine in Stamford, CT

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Dr Tiphany Alexandrea Jolly, MD is a medicare enrolled "Emergency Medicine" physician in Stamford, Connecticut. She went to Meharry Medical College School Of Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Emergency Coverage Llc, Cep America Llc and her current practice location is 30 Shelburne Road, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 276-7777.

Dr Tiphany Alexandrea Jolly is licensed to practice in Connecticut (license number 051495) 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 1427321892.

Contact Information

Dr Tiphany Alexandrea Jolly, MD
30 Shelburne Road,
Stamford, CT 06902
(203) 276-7777
Not Available

Map and Direction




Physician's Profile

Full NameDr Tiphany Alexandrea Jolly
GenderFemale
SpecialityEmergency Medicine
Experience17 Years
Location30 Shelburne Road, Stamford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tiphany Alexandrea Jolly attended and graduated from Meharry Medical College School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1427321892
  • Provider Enumeration Date: 02/16/2012
  • Last Update Date: 03/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103068101
  • Enrollment ID: I20171004002686

Medical Identifiers

Medical identifiers for Dr Tiphany Alexandrea Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427321892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 78050 (Georgia)Secondary
207P00000XEmergency Medicine 051495 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Decatur HospitalDecatur, GAHospital
Piedmont Mountainside Hospital IncJasper, GAHospital
Emory Hillandale HospitalLithonia, GAHospital
Southern Regional Medical CenterRiverdale, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Coverage Llc3072412592530
Cep America Llc6608056171732

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 Tiphany Alexandrea Jolly allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050411000056
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124073721
PECOS PAC ID: 6608056171
Enrollment ID: O20121126000128
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316
Entity NameEmergency Group Of Columbus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316458227
PECOS PAC ID: 2668735515
Enrollment ID: O20180406001191
Entity NameHeritage Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003321969
PECOS PAC ID: 6305100850
Enrollment ID: O20180509000280
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186
Entity NameMadison Emergency Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770193419
PECOS PAC ID: 2961829072
Enrollment ID: O20200902003387
Entity NameSmall Hospital Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20220404000661

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 Tiphany Alexandrea Jolly 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 AddressPractice Location Address
Dr Tiphany Alexandrea Jolly, MD
30 Shelburne Rd,
Stamford, CT 06902-3628

Ph: () -		Dr Tiphany Alexandrea Jolly, MD
30 Shelburne Road,
Stamford, CT 06902

Ph: (203) 276-7777

Reviews and Comments


Emergency Medicine Doctors in Stamford, CT

Dr. Alexandr Rafailov, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 203-276-7777    
Dr. Sarah Marie Vitello, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 203-276-1000    
Romulo V Vasquez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 Washington Blvd, Stamford, CT 06902
Phone: 203-276-2472    Fax: 203-276-4594
Dr. Nitin Kuppanda, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hospital Plz, Stamford, CT 06902
Phone: 203-276-1000    
Jomo Coddett, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 330-493-4443    Fax: 330-493-8677
Dr. Scott Raymond Martin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 29 Hospital Plz Ste 502, Stamford, CT 06902
Phone: 203-348-7410    Fax: 203-276-2324

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.