Tiffany J Libby, MD is a medicare enrolled "Dermatology" physician in Riverside, Rhode Island. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Brown Dermatology Inc and her current practice location is
375 Wampanoag Trl Ste 401, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-7959.
Tiffany J Libby is licensed to practice in Rhode Island (license number MD16408) 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 1912249418.
Physician's Profile
| Full Name | Tiffany J Libby |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 375 Wampanoag Trl Ste 401, Riverside, Rhode Island |
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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. |
Medical Education and Training:
- Tiffany J Libby graduated from medical school in 2013
NPI Data:
- NPI Number: 1912249418
- Provider Enumeration Date: 03/22/2013
- Last Update Date: 12/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800146689
- Enrollment ID: I20180829003217
Medical Identifiers
Medical identifiers for Tiffany J Libby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912249418 | NPI | - | NPPES |
| 1912249418 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | MD16408 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Brown Dermatology Inc | 3870872773 | 27 |
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 J Libby allows following entities to bill medicare on her behalf.
| Entity Name | Brown Dermatology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730538026 PECOS PAC ID: 3870872773 Enrollment ID: O20161117000508 |
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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 J Libby 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 J Libby, MD 15 La Salle Sq, Providence, RI 02903-1814 Ph: (401) 444-6779 | Tiffany J Libby, MD 375 Wampanoag Trl Ste 401, Riverside, RI 02915-2237 Ph: (401) 444-7959 |
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